NAME:________________________________________________________________
ADDRESS:_____________________________________________________________
CITY: _________________________________ POSTAL CODE:__________________
PHONE: (home) _________________________ (work)_________________________
I AM THE: ___ PLAINTIFF ___ DEFENDANT
CASE NAME:__________________________________________________________
FILE NUMBER: ____________________ TODAY'S DATE _____________________
ACKNOWLEDGEMENT
| ______ (initials) | I have been advised by the staff of the Prothonotary's Office to seek legal advise from a qualified member of the Nova Scotia Bar Society. |
| ______ (initials) | I understand that if I do not obtain legal counsel that there are risks involved in pursuing a court action without legal representation. |
| ______ (initials) | I do not hold the Prothonotary's office responsible for any of the documentation or information I received while filing this action on my own. |
| ______ (initials) | I have been given the phone number for Nova Scotia Legal Aid (420-6573), Dalhousie Legal Aid (423-8105), the Lawyer Referral Service and the Legal Information Society of Nova Scotia (455-3135) and have been advised of the services provided by each. |
Please Note: The information on this form is required for all self-represented individuals before the Nova Scotia Supreme Court and the Nova Scotia Court of Appeal.
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