Application for Federal Court Filing

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I. Applicant

Name:

Address:

Telephone Number:

Facsimile Number

II. Particulars of Order

Identify the order which you wish the Tribunal to file in Federal Court (Tribunal file number and date of order):

III. Reasons for Filing

Give the reasons why you believe the order should be filed in the Federal Court (use additional sheets if necessary):

  I hereby certify that the facts set out in this application are true to the best of my knowledge

Signature of Applicant or Authorized Representative:

Date:

Name and address of Applicant's Authorized Representative, if any:

Form 9 (02/2006)

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