Application Form 8c

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ONTARIO
Court file number
(Name of Court)
SEAL
Form 8C: Application for
at
Secure Treatment
Court office address
Extension of
Secure Treatment
Applicant(s)
Full legal name & address for service — street & number, municipality, postal
Lawyer’s name & address — street & number, municipality, postal code,
code, telephone & fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality, postal
Lawyer’s name & address — street & number, municipality, postal code,
code, telephone & fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
Child
Full legal name of child:
Lawyer’s name & address — street & number, municipality, postal code,
telephone & fax numbers and e-mail address (if any).
Birth date (d, m, y):
Sex:
TO THE RESPONDENT(S) AND CHILD:
A COURT CASE HAS BEEN STARTED AGAINST YOU IN THIS COURT. THE DETAILS ARE SET OUT ON THE
ATTACHED PAGES.
a.m.
p.m.
THE FIRST COURT DATE IS
(date)
AT
or as soon as possible after that time, at:
(address)
Check applicable box.
I/We am/are the child’s parent(s).
(Attach the consent of the parent(s) in Form 33F. If the child is 16 or 17 years old, the child’s
1.
consent – Form 33E – must also be attached. In an application to extend treatment, the consent of the program administrator in
Form 33F must also be attached. If the “child” is 18 or more years old, the “child’s” consent to extend treatment in Form 33F must
also be attached.)
I am an authorized officer of the applicant children’s aid society that has custody of the child under an order made
under Part III of the Child and Family Services Act.
(Attach the officer’s consent in Form 33F. If the child is 16 or 17 years old,
the child’s consent – Form 33E – must also be attached. In an application to extend treatment, the administrator’s consent in Form
33F must also be attached.)
I am a person (other than an administrator of the secure treatment program) who is caring for the child.
(To be used
only where the child is less than 16 years of age. A consent of the child’s parent – Form 33F – must be attached. In an application
to extend treatment, the administrator’s consent in Form 33F must also be attached.)
I am the child in this case and I am 16 or 17 years old.
(The child’s consent – Form 33E – must be attached. In an application
to extend treatment, the administrator’s consent in Form 33F must also be attached.)
I am the person who has been committed to the secure treatment program in this case and I am 18 or more years old.
(To be used only in an application to extend treatment. Attach the consent of the program administrator on Form 33F.)
I am a physician qualified under the law of Ontario to practise medicine.
(To be used in an application for secure treatment
only where the child is 16 years of age or more. A physician can apply to extend treatment, but only if the “child” is 18 or more years
of age and only if separate consents in Form 33F, both from the administrator of the program and from the “child” are attached.)
FLR-8C-E (2009/11)
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