Collection and Use Statement
In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected on this form will be used only by municipal staff and, if necessary, individuals and/or organizations under service contract with the Halifax Regional Municipality for purposes relating to executing the Voluntary Vulnerable Persons Registry program.
If you have any questions about the collection and use of this personal information, please contact the Access and Privacy Office at 902.943.2148 or email@example.com.
Please provide any important additional information that will help first responders assist you during an emergency (e.g., I use a wheelchair).
I understand that if I am approved to be added to the VVPR, the VVPR Coordinator will register me in the hfxALERT system so that I will receive VVPR emergency alerts as needed. These alerts will be sent to me via all means of communication that I have provided, including Primary/Secondary Phone #s (telephone call and/or text) and email address.
If I have included contact information for a representative/Legal Guardian and/or Primary/Secondary Emergency Contact in this application form, they will be contacted to confirm this role and to obtain their consent for the VVPR Coordinator to register them in the hfxALERT system so that they will receive the VVPR emergency alerts on my behalf.
Please read and sign below for your application to be reviewed:
I understand that the Halifax Regional Municipality will provide the information I included in my Voluntary Vulnerable Persons Registry (VVPR) registration form to local first responders for use during emergencies. I understand that if I rely on electricity for life-sustaining equipment such as oxygen, my information may also be provided to Emergency Management volunteers and service providers. I know that it is important for me to ensure that the VVPR program has accurate and up-to-date information at all times. I understand that I still need to call 9-1-1 in an emergency and am also responsible for having an emergency plan in place to be prepared to remain safe for at least three days. I recognize that the VVPR does not guarantee my safety but is an added safeguard where local emergency service groups will make every effort to increase the possibility of my safety during emergencies.
I understand that if I am approved, some of my information will be available to authorized local first responders within 45 days of receipt of my application. I also understand that I will be notified of the date on which my information will be made available to those authorized first responders. I further understand that as part of the program, updates are required at a minimum of every 6 months using my preferred method or alternatives if required. I acknowledge that the VVPR Coordinator will make every effort over a two-month period to complete an update; however, if unsuccessful, the VVPR Coordinator can remove me from the VVPR, and I will be notified accordingly. I know that I can request to be removed from the VVPR at any time.