City/Town Province Postal Code Email Daytime Phone Cell Phone Fax TTY What is the best way to send information to you at your alternative contact? Mail Email Fax (if you check email, you are consenting to the delivery of documents by email) 3. Representative Contact Information Complete this Section only if you are authorizing a lawyer or other Representative to act for you. I authorize the organization and/or person named below to represent me. My representative is: First (or Given) Name Last (or Family) Name Organization (if applicable): Street # Street Name Apt/Suite City/Town Province Postal Code Email Daytime Phone Cell Phone Fax TTY LSUC No. (if applicable): What is the best way to send information to your representative? Mail Email Fax (if you check email, you are consenting to the delivery of documents by email) 4. Respondent Contact Information Provide the name and contact information for any respondent against which you are filing this Application. If there is more than one respondent and you are filling this out on paper, please attach a separate sheet of paper with the
City/Town Province Postal Code Email Daytime Phone Cell Phone Fax TTY What is the best way to send information to you at your alternative contact? (if you check email, you are consenting to the delivery of documents by email) Mail Email Fax 3. Representative Contact Information Complete this Section only if you are authorizing a lawyer or other Representative to act for you. I authorize the organization and/or person named below to represent me. My representative is: First (or Given) Name Last (or Family) Name Organization (if applicable): Street # Street Name Apt/Suite City/Town Province Postal Code Email Daytime Phone Cell Phone Fax TTY LSUC No. (if applicable): What is the best way to send information to your representative? (if you check email, you are consenting to the delivery of documents by email) Mail Email Fax 4. Respondent Contact Information Provide the name and contact information for any respondent against which you are filing this Application. If there is more than one respondent and you are filling this out on paper, please attach a separate sheet of paper with the
Form%201%20and%201E.docx