Release of Information for Family Orders and Agreements Enforcement Regulations

	Department of Justice ​Canada	Ministère de la Justice Canada	Protected when received by the Department of Justice Protégé dès réception par le ministère de la Justice

T01APPLICATION: RELEASE OF INFORMATION UNDER PART I OF THE FAMILY ORDERS AND AGREEMENTS ENFORCEMENT ASSISTANCE ACT

PART 1APPLICANT IDENTIFICATION

Court, peace officer or provincial enforcement service name

01

Nom du tribunal, de l’agent de la paix ou de l’autorité provinciale

Application reference code no.

02

N° de code de la demande

Court, peace officer or provincial enforcement service reference no.

03

N° de référence du tribunal, de l’agent de la paix ou de l’autorité provinciale

PART 2INFORMATION ON PERSON TO BE LOCATED

The name of the person to be located must correspond with the name on the affidavit in support of this application.

Surname

04

Nom de famille

First name

05

Prénom

06

Second name

Second prénom

Date of birth

07

08

Gender

Date de naissance

Year / Année

Month / Mois

Day / Jour

☐ Male ☐ Female ☐ Another gender ☐ Information not available

Genre

☐ Masculin ☐ Féminin ☐ Autre genre ☐ Information non disponible

09

Social Insurance Number

Numéro d’assurance sociale

Mother’s surname at her birth

10

Nom de famille de la mère à sa naissance

PART 3REASON FOR APPLICATION

A -	Person in default of the support provision		11				A -	Personne ne s’étant pas conformée à la disposition alimentaire
B -	Person believed to have possession of the child or children in contravention of the custody provision		12				B -	Personne soupçonnée de détenir un enfant ou des enfants en violation de la disposition de garde
C -	Person charged with an offence under section 282 or 283 of the Criminal Code		13				C -	Personne accusée d’une infraction aux articles 282 ou 283 du Code criminel
D -	Missing child		14				D -	Enfant porté disparu
E -	Person believed to have possession of a child or children in contravention of the access right		15				E -	Personne soupçonnée de détenir un enfant ou des enfants en violation du droit d’accès

PART 4DOCUMENTS

All applications must be accompanied by the following documents:

• a) where the application is made by an officer or judge of a court,

  • (i) a copy of the family provision to which the application relates,

  • ii) the court’s authorization obtained under section 12 of the Act, and

  • (iii) a copy of the affidavit submitted in support of the application for the court’s authorization;

• b) where the application is made by a provincial enforcement service, an affidavit in support of the application in accordance with subsection 14(4) of the Act;

• c) where the application is made by a peace officer investigating a child abduction pursuant to section 282 or 283 of the Criminal Code,

  • (i) a copy of the Criminal Code information, and

  • (ii) an affidavit in support of the application in accordance with subsection 14(5) of the Act.

PART 5DECLARATION

I declare that the information given in this application is true and is for the purpose of applying for the release of information to assist in locating a person in accordance with the Family Orders and Agreements Enforcement Assistance Act.

Y - AMD - J
Name of declarant (print) Nom de l’attestataire (en caractères d’imprimerie)		Signature of declarant Signature de l’attestataire		Date