Application Child Protection And Status Review Page 6

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Form 8B:
Application (Child Protection
(page 6)
Court file number
and Status Review)
3.
To the applicant’s best knowledge, the child(ren)
has/have never before been in the care of a society under an out-of-court agreement.
has/have been in the care of a society under an out-of-court agreement. The details are as follows:
(Set out the number of times each child was in society care, when the care began and how long it lasted.)
have
have not
4.
To the applicant’s best knowledge, the parties or the child(ren)
been in a court case before relating to the supervision, wardship (guardianship) or custody of or access to the child(ren).
(Provide details of any existing custody order, including whether made by a superior court or under the Divorce Act.)
have
have not
5.
The parties
made a written agreement dealing with any matter involved in this case.
(If you checked the first box, give date of agreement and indicate which of its terms are in dispute. Attach an additional page if you need
more space.)
6.
The following is a brief statement of the facts upon which the applicant is relying in this application.
(Set out the facts in numbered paragraphs. If you need more space, you may attach a page, but you must date and sign each
additional page.)
Put a line through any blank space left on this page.
Date of signature
Signature
If applicant is a children’s aid society,
Print or type name.
give office or position of person signing.
FLR-8B-E (2006/10)
Page 6 of 7

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