Application Form

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Fillable PDF Form, Version 3.1, November 1, 2004
(Fill-in by computer, print form, sign, submit by mail)
ADR Application Form (861 K)

NOTE: In order to make use of all of the features of a fillable PDF form, you should use version 5 or higher of the Adobe Acrobat Reader. This form has been developed in such a way that it allows you to fill in all the necessary information, except your signature, using your computer. You will not be able to save or return to a partially completed version of this form. As such, prior to attempting to complete this form, it is critical that you obtain the information required and carefully read the instructions provided. Failure to do so will result in the need to re-key previously entered data.

NOTE: If you do not have Adobe Acrobat Reader version 5 or higher, you must print the form and fill in the fields by hand for submission by mail.

Non-Fillable PDF Form, Version 3.1, November 1, 2004
(Print form, fill-in by hand, sign, submit by mail)
ADR Application Form (557 K)

General directions

Before filling out the Application Form, please remember to:

• Review the entire Application package. Take as long as you need to read the Application package and to fill out the ApplicationForm.
• Check whether you can participate in the Alternative Dispute Resolution Process (see page 8 in the Guide).
• Identify whether Model A or Model B is most appropriate for your claim. You cannot participate in both processes. See pages 19 – 22 of the Guide for more information.
• Consider having someone with you or nearby for support, such as a family member, counsellor, traditional healer, Elder or someone else from your community.
• Consider hiring a lawyer to represent you in the Alternative Dispute Resolution Process.

When filling out the Application Form, remember to:

• Read first
  Read all questions and requests for information carefully before answering.
• Be complete
  Answer all of the sections of the Application Form that apply to you, tothebestofyour ability. If you can’t remember an exact date, you may provide an approximate time period. If a section or question does not apply to you or if you do not know an answer, please write not applicable, or don’t know. Do not guess the answers, but provide as much detail as you remember. If your Application Form is incomplete, you or your lawyer (if you have one) may be contacted for more details. This will delay the decision about whether your application is accepted into the Alternative Dispute Resolution Process.
• Use extra paper if necessary
  If needed, extra copies of Sections 6 – 7 and Worksheets for the Application Form can be found at the end of the Application Form, in the Appendix. If you need more than those provided, you can make more copies. Use as many extra sheets of paper as you need to provide complete information about your claim. You may also use the Worksheets to write notes or draw diagrams or pictures that help explain your claim. For example, you can draw a diagram or map of where the abuse took place at the residential school.

After filling out the Application Form, also remember to:

• Review all of your answers in the Application Form to make sure they are as complete as possible.
• Complete the checklist in the Appendix of the ApplicationForm.
• Make a copy of your Application Form for your records.
• Use the self-addressed envelope provided and send your Application Form to:
  IndianResidentialSchoolsResolutionCanada,
  P.O. Box 1550, Stn B,
  Ottawa, Ontario
  K1P 1K7

Next steps

• Gather your required documents
  If you identify Model A to resolve your claim, depending on the level of compensation you are claiming for, you may have to collect and submit the required documents listed in Appendix D of the Guide, on page 54. You do not have to submit the required documents with the Application Form, only later in the process, if you are accepted into Model A. If you identify Model B to resolve your claim, you do not have to submit any documents, but you can submit some documents in support of your claim. See List 3 in Appendix D on page 59 of the Guide for a examples of documents.
• Notify us of changes
  If you need to change any information in your Application Form after you have sent it, please inform the government department, Indian Residential Schools Resolution Canada, immediately of the changes, in writing. Examples of important changes include a change of address, a change of lawyer, new information about your claim, or if you want to leave a group and wish to proceed as an individual. If the government has questions and cannot locate you or your lawyer, your application will not move forward in the Alternative Dispute Resolution Process.

  You can notify us of changes at the following address:
  IndianResidentialSchoolsResolutionCanada,
  P.O. Box 1550, Stn B,
  Ottawa, Ontario
  K1P 1K7
  

 

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