Affidavit Of Society Employee For Adoption Of A Crown Ward Page 3

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Form 34G.1:
Affidavit of Society Employee for
(page 3)
Court File Number
Adoption of a Crown Ward
I have made reasonable inquiries about the existence of any outstanding appeals of orders relating to the child. To the
5.
best of my knowledge,
There is no appeal in progress of the order(s) for Crown Wardship or ending access to the child.
The appeal period for the order(s) for Crown Wardship and ending access to the child have expired without an
appeal being filed.
An appeal of the order for Crown Wardship was filed on
(date)
and was withdrawn on
(date)
.
An appeal of the order for Crown Wardship was filed and dismissed by
(name of judge or registrar of the Court of
Appeal)
on
(date of order)
.
An appeal of the order ending access was filed on
and was withdrawn
(date)
on
(date)
.
An appeal of the order ending access was filed and dismissed by
(name of judge or registrar of the Court of Appeal)
on
(date of order)
.
Sworn/Affirmed before me at
municipality
in
Signature
province, state or country
(This form is to be signed in front of a
on
lawyer, justice of the peace, notary public or
date
Commissioner for taking affidavits
commissioner for taking affidavits.)
(Type or print name below if signature is illegible.)
Save Form
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Put a line through any space left on this page
FLR-34G-1-E (2011/08)

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