Form 35.1:
Affidavit in Support of Claim for
(page 9)
Court file number
Custody or Access
13. You must file a police records check with the court. Choose the option below that applies to you:
I have attached to this affidavit a copy of my police records check, dated
(date of report from local police force)
. Since the date that the attached police records check was completed,
I have been found guilty of or charged with the following offence(s):
On
, I sent a request to
(date)
(name of local police force)
for a police records check.
I agree to serve and file the police records check with the court within 10 days after the day I receive it. I
understand that the court may not make an order for custody of the child(ren) until I have filed the police
records check.
14. Since I turned 18 years old or became a parent, whichever was earlier, I have lived in the following places:
City, town or municipality where you lived
Approximate dates
(month/year to month/year)
(if outside of Ontario, give name of province, state or country)
15. I have provided a signed consent form to the court, which authorizes each of the children’s aid societies listed
below to send a report to me and to the court indicating:
•
whether the society has any records within the meaning of the Children’s Law Reform Act regulations relating
to me; and
•
the date(s) on which any files were opened and/or closed (if applicable).
i) Name of children’s aid society:
ii) Name of children’s aid society:
iii) Name of children’s aid society:
iv) Name of children’s aid society:
v) Name of children’s aid society:
vi) Name of children’s aid society:
FLR-35-1-E (2009/11)
Continued on next sheet