Rules of the Supreme Court of Canada

(Style of Cause (Rule 22) — Use Form 1 of Guidelines for Preparing Documents to be Filed with the Supreme Court of Canada (Print and Electronic))

(If this certificate or any order attached to the certificate contains or reveals information that is subject to a sealing or confidentiality order from a lower court or the Court or that is classified as confidential under legislation, it shall be sealed in an envelope and accompanied by a redacted version.)

(1) Is there a sealing or confidentiality order from a lower court or the Court in effect in the file?	□ Yes□ No
(2) Is there a ban on the publication of evidence or the names or identity of a party or witness under an order in effect in the file or under legislation?	□ Yes□ No
(3) Is there information in the file that is classified as confidential under legislation?	□ Yes□ No
(4) Is there a restriction on public access to information in the file in a lower court?	□ Yes□ No
(5) May the full names of individuals named in the style of cause be published?	□ Yes□ No

If you have answered “Yes” to any of questions (1) to (4), provide the information indicated below, if applicable, and file a Form 23B in accordance with subrule 23(3).

Court that made the order:

Date of the order:

Applicable legislative provision(s) or explanation of restriction:

Attach a copy of the order. If the order was pronounced orally, attach the relevant excerpt from the transcript of the hearing in which the order was pronounced.

I, (name), (counsel or agent) for (name of applicant, respondent or appellant), certify that the information above is complete and accurate.

Dated at (place), (province or territory) this (date) day of (month), (year).

(Counsel or Agent) for (name of applicant, respondent or appellant)

Signature

ORIGINAL TO: THE REGISTRAR

COPIES TO: (Name, address and telephone number, and fax number and email address (if any), of every party)