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THE LAW SOCIETY OF UPPER CANADA CHECKLIST TO APPLICATION FOR A LICENCE UNDER THE NATIONAL MOBILITY AGREEMENT OR THE TERRITORIAL MOBILITY AGREEMENT AND SUBSECTION 9(2) OF BY-LAW 4 Complete all sections of this application. The Law Society of Upper Canada may investigate or verify any information supplied in this application, and may require further explanation from you. Omissions or inaccuracies in your answers may delay processing. If the space provided for any answer is insufficient, complete your answer on a separate sheet, sign and date the sheet and staple it to the application. The Law Society of Upper Canada s By-Law 4 is available for your information at: www.lsuc.on.ca APPLICATION REQUIREMENTS 1. Submit a completed and original Application for Licence Under the National Mobility Agreement or the Territorial Mobility Agreement and Subsection 9(2) of By-Law 4. DO T FAX or EMAIL 2. Submit the Payment Remittance form and the non-refundable application fee of $1450 + HST. TE: When licensed, Law Society annual membership fees must be paid. 3. Submit an original Certificates(s) of Standing (dated within the last 30 days) from each Law Society of which you are or have been a member, inside and outside of Canada TE: Your Certificate(s) of Standing must be replaced if it becomes more than 60 days old at the time your application is ready to be approved by Complaints & Compliance. Applicants must remain entitled to practice in their home jurisdiction until they are licensed in Ontario. 4. Submit a notarized copy of your Canadian Birth Certificate as proof of age and full legal name or a notarized copy, front and back, of your Canadian Citizenship Card 5. Submit two colour passport photos taken within the last 12 months 6. Submit complete information regarding your work history for the last 5 years 7. Submit additional relevant documents to comply with specific application requirements TE: Upon receipt of the completed application and the required fee, the Law Society will send you the reading materials and the declaration for the licensing reading requirement. Once you have read and understood the reading materials, send the completed declaration to the Complaints & Compliance department to certify that you have completed your reading requirement. The Law Society will then process the application. Applications and required information and documentation must be correct, complete and received by the Complaints & Compliance department no later than 20 business days prior to the applicant s anticipated licensing date. Questions about review and approval of applications should be directed to Complaints & Compliance by calling 416-947-3315 and asking to be transferred, or emailing lsforms@lsuc.on.ca Mail to: The Law Society of Upper Canada, Accounts Receivable Osgoode Hall, 130 Queen St W, Toronto, Ontario M5H 2N6 Questions about the licensing process should be directed to the Licensing Process, Licensing & Accreditation department by calling 416-947-3315 and asking to be transferred, or by emailing licensingprocess@lsuc.on.ca Page 1

THE LAW SOCIETY OF UPPER CANADA LSFORMS@LSUC.ON.CA COMPLAINTS & COMPLIANCE 130 QUEEN STREET WEST, TORONTO, ON M5H 2N6 PHONE: 416-947-3315 OR 1-800-668-7380 EXT. 3315 THE LAW SOCIETY OF UPPER CANADA APPLICATION FOR A LICENCE UNDER THE NATIONAL MOBILITY AGREEMENT OR THE TERRITORIAL MOBILITY AGREEMENT AND SUBSECTION 9(2) OF BY-LAW 4 PART A APPLICANT S INFORMATION 1. PERSONAL INFORMATION Applicant s Full Name: Date of Birth: Month/Day/Year Place of Birth: City and Country 2. HOME CONTACT INFORMATION Home Address including Postal Code: Telephone/Mobile: Email: 3. BUSINESS CONTACT INFORMATION Business/Employer Name and Address: Telephone/Mobile: Fax: Email: Page 2

4. CANADIAN MEMBERSHIP INFORMATION List any Canadian Law Societies you are or have been a member of: Name of Law Society: Date of Licence: Member/Licence Number: Status: Name called/licensed under (if different from personal information in question 1): Name of Law Society: Date of Licence: Member/Licence Number: Status: Name called/licensed under (if different from personal information in question 1): 5. MEMBERSHIP INFORMATION - OUTSIDE OF CANADA List any Law Societies outside Canada you are or have been a member of: Name of Law Society: Date of Licence: Member/Licence Number: Status: Name called/licensed under (if different from personal information in question 1): Name of Law Society: Date of Licence: Member/Licence Number: Status: Name called/licensed under (if different from personal information in question 1): Provide an original Certificate(s) of Standing (dated within the last 30 days) from each Law Society of which you are or have been a member, inside and outside of Canada. TE: Your Certificate(s) of Standing must be replaced if it becomes more than 60 days old at the time your application is ready to be approved by Complaints & Compliance. 6. PROOF OF LEGAL NAME a) Are you a Canadian citizen or permanent resident of Canada? If : Provide a certified copy of a Canadian Birth Certificate OR a Canadian Citizenship Card (front and back) If : Contact the Complaints & Compliance department of the Law Society at 416-947-3315 before submitting your application b) Have you used another name or changed your name by court order, marriage, or other means? If : Provide a certified copy of a Canadian Name Change Certificate OR a Canadian Marriage Certificate OR a Court Order Page 3

7. LAW DEGREE OR NATIONAL COMMITTEE ON ACCREDITATION (NCA) CERTIFICATE OR (Choose A or B) A) I have a Canadian common law degree. Name of Law School: Graduation Year: B) My academic credentials have been evaluated by the National Committee on Accreditation. TE: Make arrangements for an original NCA Certificate to be forwarded to the Complaints & Compliance department. 8. Are you currently authorized to practise law in a province or territory of Canada outside Ontario? If : Jurisdiction(s): 9. Have you been engaged in private practice, or as a sole practitioner in the last five years? If : Describe your work history: Date From: Employer/Firm Name: Date To: Describe your position: Date From: Employer/Firm Name: Date To: Describe your position: Date From: Employer/Firm Name: Date To: Describe your position: Page 4

10. If you are called to the bar and licensed in Ontario, do you intend to practise law here? If : Provide anticipated start date: Month/Day/Year Name and Address of Law Firm or Employer: Telephone: Fax: Email: Contact Person: Applicants for licensing who wish to work in Ontario before they are licensed must apply for permission to practise law in Ontario on a temporary basis (permit) because by establishing residence and taking a job here, they have established an economic nexus. They must maintain E&O insurance from their home jurisdiction until they are licensed in Ontario, and then replace it with LAWPRO (Ontario insurance coverage). PART B GOOD CHARACTER Circle your response to the following questions. If you answer to any of the questions in this part, provide full details on a separate sheet and attach any relevant documents including orders and/or judgments. 11. Are you currently the subject of criminal proceedings or proceedings for any other offence under any statute in Canada or elsewhere? 12. Have you ever been found guilty of, or convicted of, any offence under any statute in Canada or elsewhere? Exclude speeding and parking tickets. 13. Has judgment ever been entered against you in an action involving fraud? 14. Are there any outstanding civil judgments against you? 15. Have you ever disobeyed an order of any court requiring you to do any act or to abstain from doing any act? 16. While attending a post-secondary institution, have allegations of misconduct ever been made against you or have you ever been suspended, expelled or penalized by a post-secondary institution for misconduct? Page 5

17. Have you ever been refused admission as a student-at-law, articled clerk or similar position in any professional/regulatory/governing body? 18. Are you now or have you ever been suspended, disqualified, censured, the subject of a conduct, capacity or competence proceeding or otherwise the subject of discipline in any jurisdiction(s) where you are or were licensed to practise law or provide legal services? 19. Are you now or have you ever been a member of a professional/regulatory/governing body (other than a Canadian Law Society) in any jurisdiction? 20. Have you ever been denied a licence or permit, or had any licence or permit revoked for failure to meet good character requirements? 21. Are you now the subject of a prosecution or have you ever been prosecuted, suspended, disqualified, censured, the subject of a conduct, capacity or competence proceeding or otherwise disciplined by any professional organization? 22. Are you aware of any complaint or charge pending against you in your professional capacity, which has not yet come to the attention of your Law Society or professional/regulatory/governing body? 23. Are you now or have you ever been the subject of an insurance claim under a policy for professional liability insurance? 24. Have you ever been discharged from any employment where the employer alleged there was cause? 25. Have you ever been disciplined by an employer, or been a respondent in proceedings alleging a violation of the Human Rights Code or similar legislation in any jurisdiction (e.g., sexual harassment, racial discrimination)? 26. Are you or any company or partnership of which you are or were a director, officer or employee currently subject to a petition or assignment in bankruptcy or a proposal to creditors under the Bankruptcy and Insolvency Act, or similar legislation in any jurisdiction and/or have you or any company or partnership of which you are or were a director, officer or employee ever been bankrupt or insolvent, under any statute? 27. Are there events, circumstances or conditions, other than those mentioned above, that are potentially relevant to your ability to practise law? Page 6

PART C AUTHORIZATION AND DECLARATION I hereby authorize the Law Society of Upper Canada to make inquiries of any person or government, any official or body, including, without limitation, any police or academic authority, about my background or character. I will provide any additional specific authorization or any release that is required for the purpose of enabling the Law Society of Upper Canada to obtain information related to my background or character. I understand that if I am licensed in Ontario, I must comply with the Law Society Act, by-laws, the Rules of Professional Conduct, and all other rules, regulations and requirements of the Law Society of Upper Canada. I understand that I must remain entitled to practice in my home jurisdiction until I am called to the bar in Ontario. I understand that I have a continuing obligation to immediately provide written notification of any change to the information that I have provided to the Law Society of Upper Canada in connection with this application. I acknowledge that my application for a licence shall be deemed to have been abandoned by me immediately if I fail to: provide to the Law Society at the time that I submit my completed application, all documents and information specified by the Law Society on the application form relating to the requirement that I be of good character; or provide to the Law Society, by the time specified by the Law Society, all additional documents and information specified by the Law Society relating to the requirement that I be of good character. I solemnly declare that all information provided by me with respect to this application, and in the documents provided in connection with this application, is true, accurate, and complete. DECLARED BEFORE ME at, on the day of, 20 Signature of a Commissioner for Taking Affidavits: Signature of Applicant: Print Name: Print Name: (for office use only) Approved by: Approval date: Page 7

PAYMENT REMITTANCE FOR AN APPLICATION FOR LICENCE UNDER THE NATIONAL MOBILITY AGREEMENT OR THE TERRITORIAL MOBILITY AGREEMENT Complete this remittance form and submit the original with your application. Applications received without the application fee cannot be processed. The application fee is non-refundable and non-transferable. Applicant s Full Name: Return this remittance form together with your payment and enclose it with your application. Please print your name and telephone number clearly on the front of your certified cheque or money order. Circle ONE of the following payment options (A or B): OR A) Certified Cheque or Money Order payable to the Law Society of Upper Canada B) Charge My Credit Card Circle ONE of the following and complete the credit card information below: Visa MasterCard AMEX Credit Card Number: Expiry Date: (mm/yy) Card Holder Name: Signature of Card Holder: Application Fee: $ 1,450.00 HST: #121712863: $ 188.50 Total: $ 1,638.50 Yes, I would like a receipt. Email to the following address: Questions about review and approval of applications should be directed to Complaints & Compliance by calling 416-947-3315 and asking to be transferred, or emailing lsforms@lsuc.on.ca. Mail to: The Law Society of Upper Canada, Accounts Receivable Osgoode Hall, 130 Queen St W, Toronto, Ontario M5H 2N6 Page 8