Non-Parent'S Consent To Adoption By Spouse
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1
2ONTARIO
Court File Number
(Name of court)
Form 34B: Non-Parent’s
at
Consent to Adoption
Court office address
by Spouse
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).
1. My name is
(full legal name)
and I live in
(municipality & province)
2. The applicant is my “spouse” within the meaning of Part VII of the Child and Family Services Act.
3. I am not a “parent” of the child in this case within the meaning of Part VII of the Child and Family Services Act.
4. I consent to the adoption of:
(Give full legal name, date of birth, sex and birth registration number if known of person to be adopted. If
this person is a Crown ward or was placed for adoption by a licensee or children’s aid society, you may use an initial for the surname.)
Full legal name
Date of birth
Sex
Birth registration number
by my spouse
(spouse’s full legal name)
Date of signature
Signature of non-parent
Signature of independent lawyer
NOTE: This consent must be witnessed by an
independent lawyer who is to provide an affidavit of
execution and independent legal advice on the next
sheet of this form.
FLR-34B-E (2007/06)
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