Please complete this form to apply for Full s.211 Reporting. You will be notified after your submission has been received. After receiving your application the following process will take place: You will receive a formal quote for preparing a Report. Professional Services Agreement and Non-Disclosure Agreement will be sent for your review. The estimated timeline will be provided for conducting the interview. Please note that firm submission dates can’t be provided as the process of interviewing depends on many factors. Prior to service commencing, a retainer will be paid by the client directly or through a legal trust account, in full. Contact InformationName First Last Email Enter Email Confirm Email PhoneBest time to call you? Morning Afternoon Evening Best time to call you? Sunday Monday Tuesday Wednesday Thursday Friday Saturday How do you wish to be contacted? Email Phone No preference Legal InformationHas Section 211 Reporting been court-ordered? Yes No Do you have legal representation?At least one party must have legal representation in order to secure service. If neither party has legal representation the intake process will not occur. Yes No How many children are involved in the file?What are the ages of the children?Please click the '+' button located on the right-side of this field to add an additional row if needed. Add RemoveWhen is the final Section 211 Reporting required to be submitted? DD slash MM slash YYYY Do you have a new spouse or partner that resides in your home with the child(ren)? Yes No Do any other adults reside in your home with the child(ren)? Yes No Does your ex-spouse have a new spouse or partner that resides in their home with the child(ren)? Yes No Has the Ministry of Children and Family Development ever been involved with your family? Yes No Has RCMP ever been involved with your family? Yes No Have the court(s) or parties in the file determined cost-sharing? Yes No List the number of collateral interviews you wish to have.Please note that each party will have the same number of collateral interviews. Collaterals could be individuals who do not reside in the home with the child(ren), friends, family, doctors, teachers, who have knowledge of your relationship history concerning the child(ren) and your ex-spouse.Do both parents/guardians intend to participate in the parent interview portion of the Section 211 Report preparation?Please have all documents readily available (i.e. court order(s) for preparation of the Section 211 Report, court order(s) for parenting access/arrangements, letter(s) of instruction from legal counsel, judgements, affidavits, applications, agreements, Ministry of Children and Family Development file(s), RCMP file(s), etc.. Yes No What is the reason for having a Section 211 Report prepared?Please explain in this section what major issues have led to this report being completed, providing as much detail as possible (i.e. relocation of parent/guardian to another city, dispute over custody and access, etc..)Has a Section 211 Report been prepared before? Yes No Has a View of the Child Report ever been prepared for any of the children? Yes No Has a Hear the Child Report ever been prepared for any of the children? Yes No Are you prepared to transport the child(ren) to and/or from the interviews if the interview dates fall during your parenting or access time with the child(ren)? Yes No Confirmation Agreement(Required)I confirm that, to the best of my knowledge, the information I have provided above is true and accurate. As such, I accept full responsibility for any delays, denial of my application, or cancellation of service that may occur should this information be incorrect, misleading, or untrue. I agree that a copy of this application will be automatically sent to me, my legal counsel (if applicable) and opposing counsel (if applicable). I confirm and agree.
