THE LAW SOCIETY OF UPPER CANADA APPLICATION FOR A PERMIT AS A FOREIGN LEGAL CONSULTANT UNDER BY-LAW 14

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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 PERMIT AS A FOREIGN LEGAL CONSULTANT UNDER BY-LAW 14 PART A APPLICANT S INFORMATION 1. PERSONAL INFORMATION Applicant s Full Name: Date of Birth: Month/Day/Year Are you licensed to practise law or provide legal services in Ontario? If : Law Society Number: 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: Which address should be used for contacting you? Circle one of the following: HOME or BUSINESS Page 1

4. a) GOVERNING BODY AND MEMBERSHIP INFORMATION TE: An original and certified (with seal) Certificate(s) of Standing (dated within the last 30 days) from each jurisdiction of which you are or have been a member, inside and outside of Canada, is to be forwarded directly from the governing or regulatory body to: The Law Society of Upper Canada, Complaints & Compliance 130 Queen Street West, Toronto Ontario, Canada M5H 2N6 Note: Do not submit a Certificate of Standing from the Law Society of Upper Canada if you are a licensee Provide the following information for each Law Society or governing body of the legal profession of which you are now, or have been, a member: Name of Law Society/Governing Body: Jurisdiction: Address: Telephone: Year of Call/Licence Date: Law Society Number: Status: Name used (if different from the personal contact information in question 1): Name of Law Society/Governing Body: Jurisdiction: Address: Telephone: Year of Call/Licence Date: Law Society Number: Status: Name used (if different from the personal contact information in question 1): Page 2

Name of Law Society/Governing Body: Jurisdiction: Address: Telephone: Year of Call/Licence Date: Law Society Number: Status: Name used (if different from the personal contact information in question 1): 4. b) If you listed more than one jurisdiction in 4. a), for which foreign jurisdiction(s) are you applying for a Foreign Legal Consultant Permit in Ontario? TE: You are not authorized to provide legal advice in Ontario respecting the law of the foreign jurisdiction(s) until you receive your permit. 5. Have you been lawfully engaged in the practice of law in the foreign jurisdiction(s) for which you are applying for a permit for at least 3 of the last 5 years immediately before this application? If : or N/A (I am licensed to practise law in Ontario as a barrister and solicitor) I undertake to be supervised directly by who has a current Foreign Legal Consultant Permit from the Law Society of Upper Canada and who is authorized to practise law in the jurisdiction for which I am applying for a permit, and has satisfied the 3 year practice requirement. 6. Are you authorized to practise law in the foreign jurisdiction(s) for which you are applying for a permit? If, attach a written explanation. Page 3

PART B GOOD CHARACTER If you answer to any of the questions in this part, provide full details on a separate sheet and attach any relevant documents including order and/or judgments. 7. Are you currently the subject of criminal proceedings or proceedings for any other offence under any statute in Canada or elsewhere? 8. Have you ever been found guilty of, or convicted of, any offence under any statute in Canada or elsewhere? Exclude speeding and parking tickets. 9. Has judgment ever been entered against you in an action involving fraud? 10. Are there any outstanding civil judgments against you? 11. Have you ever disobeyed an order of any court requiring you to do any act or to abstain from doing any act? 12. While attending a post-secondary institution (for example a university or college), have allegations of misconduct ever been made against you or have you ever been suspended, expelled or penalized by a postsecondary institution for misconduct? 13. Have you ever been refused admission in a professional/regulatory/governing body? 14. 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? 15. Are you now or have you ever been a member of a professional/regulatory/governing body (other than those listed in Question 4.a) in any jurisdiction? 16. Have you ever been denied a licence or permit, or had any licence or permit revoked for failure to meet good character requirements? Page 4

17. 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? 18. 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? 19. Are you now or have you ever been the subject of an insurance claim alleging fraud or dishonesty under a policy for professional liability insurance? 20. Have you ever been discharged from any employment where the employer alleged there was cause? 21. 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)? 22. 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? 23. Are there events, circumstances or conditions, other than those mentioned above, that are potentially relevant to your ability to give legal advice in Ontario respecting the law of a foreign jurisdiction? Page 5

PART C DETAILS OF INSURANCE (Complete A or B below) Attach a copy of your insurance policy for professional liability insurance for the giving of legal advice in Ontario respecting the law of the foreign jurisdiction(s) for which you are applying for a permit, which is at least equivalent to that required of a lawyer who is licensed to practise law in Ontario (currently at least $1,000,000 CAD per claim and $2,000,000 CAD in the aggregate). The LAWPRO Standard Policy (#001), which is required for all Ontario lawyers in private practice, can be reviewed on the LAWPRO website at www.lawpro.ca. The Law Society s By-Law 6, Professional Liability Insurance, is available at www.lsuc.on.ca. A. I have obtained professional liability insurance for the giving of legal advice in Ontario respecting the law of the jurisdiction(s) for which I am applying for a permit ( my home jurisdiction ), which is at least equivalent to that required of a licensee who holds a Class L1 licence for the licensee s practice of law in Ontario. I have reviewed the LAWPRO Standard Policy (#001) and confirm that the coverage provided by my professional liability insurance is at least equivalent to the coverage required for Ontario lawyers. If, complete a) through f) below: a) Name and address of Insurer: b) Policy Number: c) Policy Period: d) Limits of Liability: i) For each claim arising out of an error or omission: $ MUST BE AT LEAST $1,000,000 CAD ii) Annual aggregate per insured: $ MUST BE AT LEAST $2,000,000 CAD e) Deductible per claim: $ TE: The standard insurance program deductible for Ontario lawyers is $5,000 CAD f) Does your insurance policy cover services rendered by you as a Foreign Legal Consultant in Ontario? OR B. I have reviewed the insurance requirements for Ontario lawyers, and have determined that an Ontario lawyer in my position does not require insurance. I am currently employed or will be employed by a single employer as in-house counsel and will only provide legal advice respecting the law of my home jurisdiction for and on behalf of my employer and will not provide legal advice respecting the law of my home jurisdiction other than for or on behalf of my employer. If I am granted a Foreign Legal Consultant Permit, I understand that it will be limited to the provision of legal advice respecting the law of my home jurisdiction only for and on behalf of my employer. Page 6

PART D REQUIRED DOCUMENTS TE: If submitting more than one application on behalf of a firm, a separate document is required for each application. 1. Application and Fee: Submit the original completed application and non-refundable fee of $500 (CAD) + HST using the Fee Remittance Form DO T FAX OR EMAIL 2. Certificate(s) of Standing: Original and certified (with seal) Certificate(s) of Standing (dated within the last 30 days) from each jurisdiction of which you are or have been a member, inside and outside of Canada To be forwarded directly from the governing or regulatory body to: The Law Society of Upper Canada, Complaints & Compliance 130 Queen Street West, Toronto, Ontario, Canada M5H 2N6 Note: Do not submit a Certificate of Standing from the Law Society of Upper Canada if you are a licensee 3. Proof of Insurance: Attach a copy of your insurance policy for professional liability insurance for the giving of legal advice in Ontario respecting the laws of each foreign jurisdiction(s) for which you are applying for a permit, which is at least equivalent to that required of a lawyer who is licensed to practise law in Ontario (currently at least $1,000,000 CAD per claim and $2,000,000 CAD in the aggregate) 4. Proof of Reciprocity: Attach a copy of the foreign jurisdiction s provisions that confirm the foreign jurisdiction has reciprocity for Foreign Legal Consultants that is comparable to Ontario s By-Law 14 5. Curriculum Vitae: Attach a copy of your curriculum vitae (resumé) to your application 6. Photo Identification: Attach a notarized copy of your passport, driver s licence or other government issued photo identification with your application. Note: Not required if you are a licensee of the Law Society of Upper Canada 7. Supervising Foreign Legal Consultant Letter (if applicable): Attach an original letter from the supervising Foreign Legal Consultant who has agreed to supervise you confirming the supervision agreement 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 7

PART E AUTHORIZATION AND SWORN STATEMENT 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 granted a Foreign Legal Consultant Permit in Ontario, I must comply with the Law Society Act, the Law Society s by-laws, the Rules of Professional Conduct, and all other rules, regulations and requirements of the Law Society of Upper Canada. I also understand that a Foreign Legal Consultant may not provide legal advice and/or services with respect to the laws of Ontario or the laws of Canada. I understand that I must have professional liability insurance coverage for the giving of legal advice in Ontario respecting the law of the foreign jurisdiction(s) for which I am applying for a permit, which is at least equivalent to that required of a licensee who holds a Class L1 licence for the licensee's practice of law in Ontario. I have reviewed the LAWPRO Standard Policy (#001) and confirm that the coverage provided by my professional liability insurance is at least equivalent to the coverage required for Ontario lawyers. 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, including but not limited to any change in my status to practise law in the foreign jurisdiction(s) for which I am applying for a permit, changes to my employment status or information, or changes to my liability insurance coverage. I also understand that I must notify the Law Society immediately if I fail to comply with the continuing legal education requirements of the governing body in the jurisdiction(s) for which I am applying for a permit. 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. SWORN 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 8

PAYMENT REMITTANCE FOR AN APPLICATION FOR A FOREIGN LEGAL CONSULTANT PERMIT 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: $ 500.00 HST: #121712863: $ 65.00 Total: $ 565.00 (CAD) 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 9