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5Form 17B: Case Conference Brief for Protection
(page 2)
Court file number
Application or Status Review
– PART 1: BASIC INFORMATION ABOUT THE CHILD(REN) –
1. The basic information about the child(ren) is as follows:
Date of
Full legal name of every parent of child
Birthdate
Child's full legal name
Age
apprehension of
and relationship to child
(See subsection
(d, m, y)
child
37(1) of the Child and Family Services Act.)
2. Where is the child living at the time of this conference?
3. What is the total length of time that any child less than six years old has been in care?
(Attach more detail if necessary.)
Name of child
Total length of time
4. What is the total length of time any child six years old or more has been in care?
(Attach more detail if necessary.)
Name of child
Total length of time
5. What religious faith, if any, is the child being raised in?
(Give the name of the child and the child’s religion.)
6. Is any child an Indian or native person?
No.
Yes.
(Give the name, address, band number and telephone number of the band to which the child belongs.)
7. If the child was brought to a place of safety before the hearing, name the person from whose care and the place from which
the child was removed.
8. Has everyone who is entitled to notice in this case been served?
Yes.
No.
(Do you want an order for substituted service on any person or an order that service is not required? Give details.)
FLR-17B-E (2009/11)
Page 2 of 5
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