CERTIFICATE OF DELIVERY 1. I certify that the following documents were delivered to [ ] the responding and [ ] any affected party named in paragraph 2 of the application: ° Application under Section 96 of the LRA or 56.1 of the FPPA; ° a blank copy of a Response to Application under Section 96 of the LRA or 56.1 of the FPPA (Form A34); and ° Notice to Responding Party and/or Affected Party of Application under Section 96 of the LRA or 56.1 of the FPPA (Form C-12) with the names of the parties and the date inserted. » » Name of Organization and Address or facsimile number to name and title of person to which documents were delivered whom documents were delivered » » Name of Organization and Address or facsimile number to name and title of person to which documents were delivered whom documents were delivered 2. These documents were delivered by [ ] facsimile transmission or [ ] hand delivery on «date» at «time» a.m./p.m. 3. These documents were sent by [ ] regular mail on «date» at «time» a.m./p.m. 4. These documents were given to «name of courier» on «date» and I was advised that they would be delivered not later than «date» at «time» a.m./p.m. NAME: _____________________________ TITLE: _____________________________ SIGNATURE: _____________________________
CERTIFICATE OF DELIVERY 1. I certify that the following documents were delivered to [ ] the responding and [ ] any affected party named in paragraph 2 of the application: ° Application under Section 96 of the LRA or 56.1 of the FPPA; ° a blank copy of a Response to Application under Section 96 of the LRA or 56.1 of the FPPA (Form A34); and ° Notice to Responding Party and/or Affected Party of Application under Section 96 of the LRA or 56.1 of the FPPA (Form C-12) with the names of the parties and the date inserted. » » Name of Organization and name and title of person to whom documents were delivered Address or facsimile number to which documents were delivered » » Name of Organization and name and title of person to whom documents were delivered Address or facsimile number to which documents were delivered 2. These documents were delivered by [ ] facsimile transmission or [ ] hand delivery on «date» at «time» a.m./p.m. 3. These documents were sent by [ ] regular mail on «date» at «time» a.m./p.m. 4. These documents were given to «name of courier» on «date» and I was advised that they would be delivered not later than «date» at «time» a.m./p.m. NAME: _____________________________ TITLE: _____________________________ SIGNATURE: _____________________________
Application%20to%20the%20OLRB%20-%20Form%20A33.docx