# Combined Acknowledgement Form

Canonical page: https://carecard.ca/knowledge/checks-declarations-forms/combined-acknowledgement-form
Language: en-CA



**Applicability:** Your institution, program, or placement may assign a
combined acknowledgement form.

**CareCard catalogue default:** 180 days.

**Evidence reviewed:** August 31, 2026

<Callout type="info">
  There is no single Ontario-wide combined acknowledgement form for all placements. Use only the
  current form supplied with your assigned requirement.
</Callout>

## What your assigned requirement may ask for [#what-your-assigned-requirement-may-ask-for]

* The correct form version for your institution, program, and placement period
* Your name, student number, program, and other requested identifiers
* Every required acknowledgement, checkbox, and initial
* Every required signature and date
* All pages in their original order

Do not copy answers or signatures from another person's form. If a statement
is unclear or does not apply to your circumstances, ask the office that issued
the form before signing it.

## Current guidance [#current-guidance]

Combined acknowledgement forms are created by institutions or placement
organizations to collect several acknowledgements in one document. Their
subjects, wording, signatories, and renewal periods vary. A similarly named
form from another school or placement cannot establish what your issuer
requires.

The current assigned form and the instructions from its issuing organization
are the authoritative sources for completion.

## CareCard validity [#carecard-validity]

CareCard's current catalogue default is 180 days. This is a tracking period,
not a universal legal lifetime for acknowledgement forms. The version and date
rules shown on your assigned requirement control.

## Sources [#sources]

* The Combined Acknowledgement Form supplied with your assigned requirement
* The completion instructions issued by your institution, program, or placement organization
