Form 35.1 Affidavit In Support Of Claim For Custody Or Access Page 3

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Form 35.1:
Affidavit in Support of Claim for
(page 3)
Court file number
Custody or Access
4. I am or have been a party in the following court case(s) involving custody of or access to any child:
(Including the
child(ren) in this case or any other child(ren). Do not include cases involving a children’s aid society in this section. Attach a copy of any
custody or access court order(s) or endorsement(s) you have.)
Court orders made
Court location
Names of parties in the case
Name(s) of child(ren)
(include dates of orders)
5. I have been a party or person responsible for the care of a child in the following child protection court case(s):
(attach a copy of any relevant court order(s) or endorsement(s) you have)
Names of people involved in
Name of children's aid
Court orders made
Court location
the case
society
(include dates of orders)
6. I have been found guilty of the following criminal offence(s) for which I have not received a pardon:
Approximate date of
Charge
Sentence received
finding of guilt
FLR-35-1-E (2009/11)
Continued on next sheet

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