The Law Society of Upper Canada s By-Law 4 is available for your information at:

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THE LAW SOCIETY OF UPPER CANADA APPLICATION FOR AN OCCASIONAL PRACTICE PERMIT FOR LAWYERS FROM QUEBEC AND THE TERRITORIES OF CANADA 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 an Occasional Practice Permit for Lawyers from Quebec and the Territories of Canada. Allow 15 business days for processing. DO NOT FAX or EMAIL 2. Submit the Payment Remittance form and non-refundable application fee of $100 + HST. 3. Submit 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. Certificates of Standing must be forwarded directly from the governing body to the Complaints & Compliance department. NOTE: 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. 4. You must maintain professional liability insurance for your practice of law in Ontario that is reasonably comparable in coverage and limits to professional liability insurance that is required of a lawyer in Ontario (currently at least $1,000,000 per claim and $2,000,000 in the aggregate, plus coverage for defalcations). 5. Submit additional relevant documents to comply with specific application requirements. 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, Complaints & Compliance Osgoode Hall, 130 Queen St W, Toronto, Ontario M5H 2N6 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 AN OCCASIONAL PRACTICE PERMIT FOR LAWYERS FROM QUEBEC AND THE TERRITORIES OF CANADA NOTE: Occasional Practice Permits are issued by calendar year. The permit entitles you to practise law in Ontario on up to 10 matters. You must apply for a new permit each year in order to continue to work in Ontario on an occasional basis. Applications must be accompanied by a certified cheque or postal money order in the amount of $100 + HST, payable to the Law Society of Upper Canada. APPLICANT S INFORMATION Applicant s Full Name: 1. PERSONAL CONTACT INFORMATION Home Address including Postal Code: Telephone/Mobile: Email: 2. BUSINESS CONTACT INFORMATION Business/Employer Name and Address: Telephone/Mobile: Fax: Email: Page 2

3. QUEBEC OR TERRITORY MEMBERSHIP INFORMATION 4. OTHER CANADIAN MEMBERSHIP INFORMATION List any Canadian Law Societies you are or have been a member of: 5. MEMBERSHIP INFORMATION - OUTSIDE OF CANADA List any Law Societies outside Canada you are or have been a member of: 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. NOTE: 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. Page 3

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 hereby undertake not to practise law or provide legal services in Ontario beyond any permission granted by the Law Society of Upper Canada and I understand that if I am issued an Occasional Practice Permit that I am limited to up to 10 matters per year. I undertake that if I am granted an Occasional Practice Permit, 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 am entitled to practise in my home jurisdiction and acknowledge that I must continue to maintain my practising membership in my home jurisdiction. 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 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: (commissaire aux affidavits) Signature of Applicant: Print Name: Print Name: (for office use only) Approved by: Approval date: Page 4

PAYMENT REMITTANCE APPLICATION FEE FOR OCCASIONAL PERMIT FOR LAWYERS FROM QUEBEC AND THE TERRITORIES OF CANADA Complete this remittance slip and submit the original with your application. Any application 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: $ 100.00 HST: #121712863: $ 13.00 Total: $ 113.00 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 5