clra s. 30 endorsement sheet - ontario court...

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  • FLR-CLRA-30-E (2016/02) Page 1 of 3

    ONTARIOCourt file number

    (Name of Court)

    atCourt office address

    CLRA s. 30 Endorsement Sheet

    Applicant(s)Full legal name & address for service street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Lawyers name & address street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Respondent(s)Full legal name & address for service street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Lawyers name & address street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Children's Lawyer (if applicable)Name & address of Childrens Lawyers agent street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any) and name of person represented.

    Childrens Law Reform Act Section 30 Endorsement Sheet

    Order to go as follows:1. (Name of assessor and other members of the assessment team, if any)

    shall conduct an assessment in this case relating to the child(ren) (insert name(s) and date(s) of birth)

    pursuant to section 30 of the Childrens Law Reform Act (attach a copy of the assessors written consent to act).

    2. The assessment is being ordered for the following reasons:

    3. The assessment shall address:

    a. The needs of the child(ren) (insert name(s))

    and the ability and willingness of each party to satisfy those needs without limitation, including the development of a comprehensive parenting plan;or

    b. The following specific issues:

    Schedule for the child(ren) (insert name(s))Parental authority for major decisions for the child(ren) (insert name(s))

  • FLR-CLRA-30-E (2016/02) Page 2 of 3

    CLRA Section 30 Endorsement Sheet (page 2) Court file number

    Parental authority for the following decisions for the child(ren) (insert name(s))

    Educational needs of the child(ren) (insert name(s))Health needs of the child(ren) (insert name(s))Mental health of the child(ren) (insert name(s))The nature and quality of the parent-child relationship(s)The child(ren)s views and preferences, if they can be reasonably ascertained (insert name(s))

    Evaluation of special needs of the child(ren) (insert name(s))A request for relocation by a parentChanges to an existing parenting planMental health of the parent(s) (insert name(s))

    and impact on parenting

    Drug or alcohol abuse assessment of the parent(s) (insert name(s))and impact on parenting

    Issues relating to family violenceSuch other circumstances or issues that the assessor in his or her discretion considers appropriateOther:

    4. A copy of this endorsement and the parties full contact information shall be provided to the assessor within 48 hours of the date of the endorsement.

    5. Within 10 days of receiving the intake questionnaires or a subsequent request from the assessor, each party shall:a. provide his or her completed intake questionnaires to the assessor,b. provide the assessor with his or her portion of the assessors initial retainer for fees and expenses and signed retainer

    agreement,c. sign the consent to release information forms requested by the assessor to permit the assessor to obtain the necessary

    information or records pertaining the parent (e.g. criminal record checks, records of a specific medical treatment centre, medical, educational, counselling, psychological or psychiatric records),

    d. sign the consent to release information forms requested by the assessor to permit the assessor to obtain the necessary information or records pertaining to the child (e.g. school records, medical or other health records, counselling, psychological or psychiatric records).

    6. The parties or their counsel, shall, within 5 days of the date of this order, deliver to the assessor the following documents in the Continuing Record:a.b.c.d.

  • FLR-CLRA-30-E (2016/02) Page 3 of 3

    CLRA Section 30 Endorsement Sheet (page 3) Court file number

    7. Each party shall respond to requests from the assessor within 24 hours wherever possible.

    8. Each party shall arrange for and attend at his or her own meetings/communications with the assessor, as well as the assessors meetings/communications with the children, in a timely fashion.

    9. Where the assessor requests to meet or communicate with a child, either alone or with a parent present, the consent of the parents is hereby dispensed with. This provision does not apply where the assessor wishes to meet with a child with a parent present where a court order or terms of release restrict that parents contact with the child.

    10. If the assessor requires clarification or further direction during the course of the assessment process, he/she may advise all parties and counsel, if any, or advise the court directly on notice to all parties in the following manner:

    11. The assessment report shall be completed and delivered to the parties within days, unless the Court orders otherwise.

    12. If the assessor requires additional time to complete the assessment, he or she shall seek an extension from the Court at the earliest opportunity using the process set out in paragraph 10 above.

    13. Subject to a possible later re-allocation by the Court of the fees and expenses of the assessment, the parties responsibility for payment of the assessors fees and expenses, including preparation of the report, shall be as follows:

    The applicant: %

    The respondent: %

    14. The additional terms attached as follows: (complete only if applicable)

    Date Judge

    Form Title CLRA s. 30 Endorsement Sheet

    FLR-CLRA-30-E (2016/02)

    Disponible en franais

    Page of

    Page of

    Form 4: Notice of Change in Representation

    Page

    FLR-CLRA-30-E (2016/02)

    Form Title

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    ONTARIO

    CLRA s. 30 Endorsement Sheet

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    CLRA s. 30Endorsement Sheet

    Applicant(s)

    Full legal name & address for service street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Lawyers name & address street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Respondent(s)

    Full legal name & address for service street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Lawyers name & address street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).

    Children's Lawyer (if applicable)

    Name & address of Childrens Lawyers agent street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any) and name of person represented.

    Childrens Law Reform Act Section 30 Endorsement Sheet

    Order to go as follows:

    pursuant to section 30 of the Childrens Law Reform Act (attach a copy of the assessors written consent to act).

    2. The assessment is being ordered for the following reasons:

    3. The assessment shall address:

    a. The needs of the child(ren)(insert name(s))

    and the ability and willingness of each party to satisfy those needs without limitation, including the development of a comprehensive parenting plan;

    or

    b. The following specific issues:

    CLRA Section 30 Endorsement Sheet

    (page 2)

    and impact on parenting

    and impact on parenting

    4. A copy of this endorsement and the parties full contact information shall be provided to the assessor within 48 hours of the date of the endorsement.

    5. Within 10 days of receiving the intake questionnaires or a subsequent request from the assessor, each party shall:

    a. provide his or her completed intake questionnaires to the assessor,

    b. provide the assessor with his or her portion of the assessors initial retainer for fees and expenses and signed retainer agreement,

    c. sign the consent to release information forms requested by the assessor to permit the assessor to obtain the necessary information or records pertaining the parent (e.g. criminal record checks, records of a specific medical treatment centre, medical, educational, counselling, psychological or psychiatric records),

    d. sign the consent to release information forms requested by the assessor to permit the assessor to obtain the necessary information or records pertaining to the child(e.g. school records, medical or other health records, counselling, psychological or psychiatric records).

    6. The parties or their counsel, shall, within 5 days of the date of this order, deliver to the assessor the following documents in the Continuing Record:

    CLRA Section 30 Endorsement Sheet

    (page 3)

    7. Each party shall respond to requests from the assessor within 24 hours wherever possible.

    8. Each party shall arrange for and attend at his or her own meetings/communications with the assessor, as well as the assessors meetings/communications with the children, in a timely fashion.

    9. Where the assessor requests to meet or communicate with a child, either alone or with a parent present, the consent of the parents is hereby dispensed with. This provision does not apply where the assessor wishes to meet with a child with a parent present where a court order or terms of release restrict that parents contact with the child.

    10. If the assessor requires clarification or further direction during the course of the assessment process, he/she may advise all parties and counsel, if any, or advise the court directly on notice to all parties in the following manner:

    11.The assessment report shall be completed and delivered to the parties within

    days, unless the Court orders

    otherwise.

    12.If the assessor requires additional time to complete the assessment, he or she shall seek an extension from the Court at the earliest opportunity using the process set out in paragraph 10 above.

    13.Subject to a possible later re-allocation by the Court of the fees and expenses of the assessment, the parties responsibility for payment of the assessors fees and expenses, including preparation of the report, shall be as follows:

    %

    %

    14.The additional terms attached as follows:(complete only if applicable)

    8.0.1291.1.339988.308172

    CLRA s. 30 Endorsement Sheet

    CLRA s. 30 Endorsement Sheet

    CurrentPageNumber: NumberofPages: Court File Number: TextField1: Name of Court. Select from the drop down menu.: Court office address: Children's Lawyer (if applicable). Name & address of Childrens Lawyers agent street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any) and name of person represented. : Insert name(s) of child(ren): Insert name(s) of child(ren) and date(s) of birth: Specify other issues.: Schedule for the child(ren) (insert name(s)): Parental authority for major decisions for the child(ren) (insert name(s)): Insert name(s) of child(ren): Parental authority for the following decisions for the child(ren) e.g. health, education, religion (insert name(s)): Insert name(s) of child(ren): Educational needs of the child(ren) (insert name(s)): Insert name(s) of child(ren): Health needs of the child(ren) (insert name(s)): Insert name(s) of child(ren): Mental health of the child(ren) (insert name(s)): Insert name(s) of child(ren): The nature and quality of the parent-child relationship(s): The child(ren)s views and preferences, if they can be reasonably ascertained (insert name(s)): Insert name(s) of child(ren): Evaluation of special needs of the child(ren) (insert name(s)): Insert name(s) of child(ren): A request for relocation by a parent: Changes to an existing parenting plan: Mental health of the parent(s) (insert name(s)): Insert name(s) of parent(s): Drug or alcohol abuse assessment of the parent(s) (insert name(s)): Insert name(s) of parent(s): Issues relating to family violence: Such other circumstances or issues that the assessor in his or her discretion considers appropriate: Other: (specify): document a.: document b.: document c.: document d.: Assessor's advise: Insert days: Respondent's responsibility for payment of assessor's fees and expenses: Additional terms (Complete only if applicable.): Date: Signature of Judge: Save Form: Print Form: Clear Form: