FORM 70.07C
No. |
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IN THE SUPREME COURT OF NOVA SCOTIA (FAMILY DIVISION) |
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BETWEEN: |
*[A. B.] - and - *[C. B.] |
Applicant/Petitioner Respondent |
CONCILIATION RECORD
1. Issues in Proceeding
*[name], Applicant [list headings: taken from section 7; Issues to be Resolved]
*[name], Respondent [list headings: taken from section 7; Issues to be Resolved]
2. Steps Taken To Date
Application and Intake: *[date]
*Referral to Parent Information: [A. B.], [date]
[C. B.], [date]
*Attendance at Parent Information: [A. B.], [date]
[C. B.], [date]
*Conciliation Meeting: [date], with [A. B.] and [C. B.]
*Conciliation Meeting: [date], with [A. B.] and [C. B.]
3. Documents Filed
By the Applicant: *Application and Intake Form, dated *
*Parenting Statement, dated *
*Statement of Income, dated *
By the Respondent: *Parenting Statement, dated *
*Statement of Income, dated *
4. Orders and Written Agreements To Date
*Consent Order respecting custody and access, dated *
*Interim Order for child support at the table amount, dated *
*Order to Disclose to *[name], by Conciliator, dated *
5. Representation by Counsel
Applicant: *[unrepresented or name of counsel]
Respondent: *[unrepresented or name of counsel]
6. Matters Not in Dispute or Agreed
*[list using headings from section 7; Issues to be Resolved]
7. Issues to be Resolved
☐ Custody/Access/Parenting
☐ Custody: Joint or Sole Custody
☐ Custodial or Residential Parent
☐ Access or Contact
☐ Relocation
☐ Other
☐ Child Support
☐ Determination of income
☐ Special or extraordinary expenses
☐ Undue hardship
☐ Shared custody
☐ Child 19 or over
☐ Person in place of a parent
☐ Other
☐ Spousal Support
☐ Entitlement or need
☐ Ability to pay
☐ Amount
☐ Exclusive Possession or Occupation
☐ Matrimonial home
☐ Family residence
☐ Property Division
☐ Classification of property
☐ Valuation of property
☐ Matrimonial home
☐ Contribution to business asset
☐ Unequal division
☐ Other
☐ Other Property Issues
☐ Division under applicable pension legislation
☐ Trust remedies or unjust enrichment
☐ Other
☐ Other
8. Next Steps Recommended or Taken by Conciliator
☐ Provide draft consent order for approval
☐ Refer to mediation
☐ Order directed to third party to disclose information
☐ Interim order for child support/maintenance made
☐ Recommend that order for child support/maintenance be varied
☐ Schedule an organizational pre-trial or pre-hearing conference
☐ Schedule a settlement conference
☐ Recommend that a parenting assessment report be prepared
☐ Schedule a hearing before a judge
☐ Schedule a trial before a judge
☐ Other
YOU HAVE THE RIGHT TO BE REPRESENTED BY COUNSEL IN THESE PROCEEDINGS.
THIS CONCILIATION RECORD MAY BE CONSIDERED AS EVIDENCE BY THE JUDGE, SUBJECT TO ANY OBJECTION TO ANY PART OF THE CONCILIATION RECORD IN WRITING AND FILED BY A PARTY WITHIN TWO CLEAR DAYS OF RECEIPT.
DATED at *[location], Nova Scotia, on *[date] .
*[name of court officer]
COURT OFFICER
TO: [A.B., Applicant] or *[ (name) , counsel for the Applicant]
[Address]
[C.B., Respondent] or *[ (name) , counsel for the Respondent]
[Address]