Form 35.1 Affidavit In Support Of Claim For Custody Or Access Page 2

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Form 35.1:
Affidavit in Support of Claim for
(page 2)
Court file number
Custody or Access
My relationship
Name(s) of all people the
to the child
Full legal name(s) of
Birthdate
child lives with now
Child’s Full Legal Name
Age
(specify if parent,
parent(s)
(d, m, y)
(include address if the child does
grandparent, family
not live with you)
friend, etc.)
3. I am also the parent of or have acted as a parent (for example, as a step-parent, legal guardian etc.) to the following
child(ren):
(include the full legal names and birthdates of any child(ren) not already listed in paragraph 2)
Name(s) of the person(s) with whom
My relationship to the child
Birthdate
Child’s Full Legal Name
the child lives now
(specify if parent, step-parent,
(if the child is under
(d, m, y)
grandparent, etc.)
18 years old)
FLR-35-1-E (2009/11)
Continued on next sheet

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