FORM 70.13A

INTERIM APPLICATION

            TAKE NOTICE that an Interim Application is being made by the *[Applicant/Respondent], pursuant to:

            ☐ section(s) of the Divorce Act;

            ☐ section(s) of the Maintenance and Custody Act;

            ☐ section(s) of the Matrimonial Property Act;

            ☐ section(s) of *(specify legislation) ;

for the following relief or orders:

            ☐ interim custody;

            ☐ interim access;

            ☐ interim child support or child maintenance;

            ☐ interim spousal support or spousal maintenance;

            ☐ interim exclusive occupation or possession of residence or matrimonial home;

            ☐ other interim relief, specify: .

            THE APPLICATION WILL BE HEARD at the Supreme Court of Nova Scotia (Family Division), at *[location], Nova Scotia on *[date] day of *[month], *[year] at the hour of *[time] for *[duration] * minutes/hours.

            ATTACHED is my affidavit and the following:

            ☐          Parenting Statement

            ☐          Statement of Income

            ☐          Statement of Special or Extraordinary Expenses

            ☐          Statement of Undue Hardship Circumstances

            ☐          Statement of Expenses

            ☐          Statement of Property

            ☐          Draft Order

            ☐          Pre-hearing Brief

            ☐          Other Affidavits and Documents (specify):_______________________________

            DATED at *[location], Nova Scotia on *[date].

_________________________________

                                                                                    *[A.B.,Applicant] or *[C.B., Respondent]

                                                                                    or Lawyer for *[Applicant/Respondent]

                                                                                    *Address, Telephone and Fax Number

TO:     *[A.B.,Applicant] or *[C.B., Respondent]

            or Lawyer for *[Applicant/Respondent]

            *Address, Telephone and Fax Number

AND TO:       The Supreme Court of Nova Scotia (Family Division)

* [Note: This form may be used for an application for an interim order without notice pursuant to Rule 70.12 or for an application for an interim order with notice pursuant to Rule 70.13. Before an interim application without notice is accepted for hearing by the court, an applicant must first explain the nature of the emergency under Rule 70.12(1) as directed by the court. An interim application with notice can only proceed to a hearing when all the applicable information has been filed with the court and a court officer or conciliator has determined that an interim hearing is necessary to resolve the issues under Rule 70.13(2).]