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4Form 10:
Answer
(page 3)
Court File Number
CLAIM BY RESPONDENT
Fill out a separate claim page for each person against whom you are making your claim(s).
7.
THIS CLAIM IS MADE AGAINST
THE APPLICANT
AN ADDED PARTY, whose name is: (
full legal name)
(If your claim is against an added party, make sure that this person’s name appears on page 1 of this form.)
8.
I ASK THE COURT FOR THE FOLLOWING:
(Claims below include claims for temporary orders.)
Claims under the Divorce Act
Claims relating to property
(Check boxes in this column only if you are
(Check boxes in this column only if your case is
Claims relating to child protection
asking for a divorce and your case is in the
in the Superior Court of Justice or Family Court
Superior Court of Justice or Family Court of the
of the Superior Court of Justice.)
Superior Court of Justice.)
a divorce
equalization of net family properties
access
00
20
40
exclusive possession of matrimonial
support for me
lesser protection order
21
01
41
home
support for child(ren) – table amount
return of child(ren) to my care
02
42
exclusive possession of contents of
22
support for child(ren)-other than
place child(ren) into care of
03
43
matrimonial home
table amount
(name)
freezing assets
23
custody of child(ren)
04
access to child(ren)
24
access to child(ren)
05
children’s aid society wardship for
44
months
society supervision of my child(ren)
45
Claims under the Family Law Act or
Other claims
Children's Law Reform Act
support for me
costs
10
30
support for child(ren) – table amount
annulment of marriage
11
31
support for child(ren)-other than
prejudgment interest
12
32
table amount
claims relating to a family arbitration
33
custody of child(ren)
13
access to child(ren)
14
restraining/non-harassment order
15
indexing spousal support
16
declaration of parentage
17
guardianship over child's property
18
50
Other (Specify)
Give details of the order that you want the court to make.
(Include any amounts of support (if known) and the name(s) of the child(ren) for
whom support, custody or access is claimed.)
FLR-10-E (2012/10)
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