Affidavit

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In the matter of ___________________________________________
(applicant or complainant)

and ___________________________________________________
(respondent)

Tribunal Case File No:

I, _______________________________________________________
(name)

of ______________________________________________________
(address) (position)

MAKE OATH AND SAY / AFFIRM that the following facts are true to the best of my knowledge: (set out each statement of fact in a separate, numbered paragraph)

1.

2.

3.

4.

Sworn (or affirmed) before me at ______________________________
(city)

in the province of ______________________________
(province)

on ______________________________
(date)

_________________________________
(Signature)

Commisioner of Oaths/Affidavits

Signature______________________________

Form 8 (02/2006)

Send Completed Form To:
Canadian Artists and Producers Professional
Relations Tribunal
240 Sparks Street, 1st Floor West
Ottawa, Ontario  K1A 1A1