Director'S Consent To Adoption
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1ONTARIO
Court file number
(Name of Court)
Form 34E: Director’s Consent to
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).
Child
(Child’s full legal name. If this person is a Crown ward or was placed by a licensee or children’s aid society, you may use an initial
for the surname.)
Date of birth
Sex
Birth registration number
1.
My name is
and I am
(full legal name)
appointed as a Director under the Child and Family Services Act.
2.
The child in this adoption case became a Crown ward on
(date)
and was placed into the care of
(full legal name of children’s aid society)
3.
There are no outstanding access orders to this child.
4.
I consent to this child’s adoption by the applicant(s).
Date of signature
Signature
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FLR-34E-E (2011/05)
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Parent category: Legal