Form 17a - Case Conference Brief - General

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ONTARIO
Court File Number
(Name of court)
Form 17A:
Case Conference Brief –
at
General
Court office address
Name of party filing this brief
Date of case conference
Applicant(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal code,
postal code, telephone & fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal code,
postal code, telephone & fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
Name & address of Children’s Lawyer’s agent (street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any)) and
name of person represented.
PART 1: FAMILY FACTS
1.
APPLICANT:
Age:
Birthdate:
(d, m, y)
2.
RESPONDENT:
Age:
Birthdate:
(d, m, y)
3.
RELATIONSHIP DATES:
Married on
(date)
Separated on
(date)
Started living together on
(date)
Never lived together
Other
(Explain.)
4.
The basic information about the child(ren) is as follows:
Grade/Year
Birthdate
Child’s full legal name
Age
Now living with
and school
(d, m, y)
Continued on next sheet
FLR 17A (November 15, 2009)
(Français au verso)

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