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Get Canada SJT023E 2010

Human Rights Tribunal of Ontario Statement of Delivery Form 23 Disponible en fran ais www. hrto. ca When filing a document with the Tribunal you must deliver the document to all other parties or if they have a representative to their representative. Application Information Tribunal File Number Name of Applicant Name of each Respondent Document Delivery Information Party filing this form Applicant Respondent Intervenor Other Name of person completing this form On I sent date name of Form s or document s that you are declaring you sent to your Form s or document s must be delivered to all other parties to the application or their representative The Form s or document s were delivered by indicate method of delivery Signature By signing my name I declare that to the best of my knowledge the information that is found in this form is complete and accurate. Name Date dd/mm/yyyy Please check this box if you are filing your Statement electronically. This represents your signature. Complete this form to confirm that you have delivered your document and to tell the Tribunal when and how you did so. The Tribunal will not accept a document for filing unless you have confirmed delivery to the other participants in the Tribunal process. Application Information Tribunal File Number Name of Applicant Name of each Respondent Document Delivery Information Party filing this form Applicant Respondent Intervenor Other Name of person completing this form On I sent date name of Form s or document s that you are declaring you sent to your Form s or document s must be delivered to all other parties to the application or their representative The Form s or document s were delivered by indicate method of delivery Signature By signing my name I declare that to the best of my knowledge the information that is found in this form is complete and accurate. Name Date dd/mm/yyyy Please check this box if you are filing your Statement electronically. This represents your signature. You must fill in the date above. Freedom of Information and Privacy The Tribunal may release information about an Application in response to a request made under the Freedom of Information and Protection of Privacy Act. Information may also become public at a hearing in a written decision or in accordance with Tribunal policies. At the request of the Commission the Tribunal must provide the Commission with copies of applications and responses filed with the Tribunal and may disclose other documents in its custody or control* 01/07/2010 Form 23 Page 1 of 1. Complete this form to confirm that you have delivered your document and to tell the Tribunal when and how you did so. The Tribunal will not accept a document for filing unless you have confirmed delivery to the other participants in the Tribunal process. The Tribunal will not accept a document for filing unless you have confirmed delivery to the other participants in the Tribunal process. Application Information Tribunal File Number Name of Applicant Name of each Respondent Document Delivery Information Party filing this form Applicant Respondent Intervenor Other Name of person completing this form On I sent date name of Form s or document s that you are declaring you sent to your Form s or document s must be delivered to all other parties to the application or their representative The Form s or document s were delivered by indicate method of delivery Signature By signing my name I declare that to the best of my knowledge the information that is found in this form is complete and accurate. .

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