Certificate Of Clerk
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5ONTARIO
Court File Number
(Name of Court)
Form 34K: Certificate of Clerk
at
(Adoption)
Court office address
Applicant(s)
(The first letter of the applicant’s surname may be used)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
(If there is a respondent, the first letter of the respondent’s surname may be used)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
If the appropriate box on the left cannot be checked, check the box on the right margin and describe the deficiency by the box.
The clerk of the court certifies as follows:
1.
MATERIAL COMMON TO ALL ADOPTION CASES
Deficiency
An application for adoption (Form 8D in Family Law Rules) has been filed.
1(a)
(a)
(b)
A certified copy of the statement of live birth has been filed (Form 2 in regulation under Vital
1(b)
Statistics Act).
A certified copy of a change of birth registration has been filed (Form 2 in regulation under Vital
Statistics Act).
Equivalent proof of details of birth has been filed.
(c)
The person to be adopted is 7 years of age or over and has filed a consent to adoption (Form 34 in
1(c)
Family Law Rules).
A court order dispensing with the consent of the person to be adopted has been filed.
1(d)
An affidavit of parentage has been filed (Form 34A in Family Law Rules).
(d)
Other evidence of who is or is not a “parent” has been filed.
1(e)
A report on the child’s adjustment in the applicant’s home:
(e)
is required by the Act (where a child had been “placed” for adoption through a licensee, a
society or otherwise). That report has been filed.
had been ordered by the court in the case of an adoption by a stepparent or relative. That
report has been filed.
has not been required in this case.
(f)
The applicant has a ‘spouse’ who is not a ‘parent’ and who has not joined in the application. That
1(f)
spouse’s consent (Form 34B in Family Law Rules) has been filed.
A court order dispensing with the spouse’s consent has been filed, together with,
proof of service of this order.
(i)
a certified copy of an order dispensing with service.
(ii)
FLR-34K-E (2011/08)
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