Resources for Self-Represented Litigants

Application For Leave to Appeal - Sample Book

In The Supreme Court Of Canada

(On Appeal From	____________________________________)
	(Name of the court appealed from)

Between:	____________________________________________
	(Name of the applicant as it appears on the court of appeal judgment)

Applicant

_____________________________________
(Status of party in the court appealed from)

And:	____________________________________________
	(Name of the respondent as it appears on the court of appeal judgment)

Respondent

_____________________________________
(Status of party in the court appealed from)

Application for Leave to Appeal

____________________________
(Name of the applicant)

____________________________

____________________________
(Your address, telephone number, fax number and e-mail address, if any)

____________________________
(Name of the respondent)

____________________________

____________________________
(Counsel’s name (or party’s if unrepresented), address, telephone number, fax number and e-mail address, if any)

____________________________

____________________________
(If applicable, agent’s name, address, telephone number, fax number and e-mail address, if any)

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-i-

•	Notice of Application for Leave to Appeal (Form 25A)					_______ (Page #)
•	Motion For An Extension Of Time (if applicable)					_______ (Page #)
•	Affidavit In Support Of Motion For Extension Of Time (if applicable)					_______ (Page #)
•	Certificate (Form 25B)					_______ (Page #)
•	Certificate (Form 25C) (if applicable)					_______ (Page #)
•	Lower Court Judgments
	►	Reasons for Judgment	_____________________	dated	___________	_______ (Page #)
			(Court of first instance)		(Date)	_______ (Page #)
	►	Order (if issued)	_____________________	dated	___________	_______ (Page #)
			(Court of first instance)		(Date)	_______ (Page #)
	►	Reasons for Judgment	_____________________	dated	___________	_______ (Page #)
			(Court appealed from)		(Date)	_______ (Page #)
	►	Order (if issued) or draft	_____________________	dated	___________	_______ (Page #)
			(Court appealed from)		(Date)	_______ (Page #)
•	Memorandum of Argument
	►	Part I	Statement of facts (including concise overview of position with respect to issues of public importance)			_______ (Page #)
	►	Part II	Statement of the questions in issue			_______ (Page #)
	►	Part III	Statement of the argument			_______ (Page #)
	►	Part IV	Submissions in support of order sought concerning costs			_______ (Page #)
	►	Part V	Order or orders sought			_______ (Page #)
	►	Part VI	Table of authorities (if any)			_______ (Page #)
	►	Part VII	Legislation (if any)			_______ (Page #)
•	Documents in Support (if any)
	►	List all documents in support and corresponding page numbers				_______ (Page #)
						_______ (Page #)
						_______ (Page #)

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_____ (Page #)

Form 25A
Notice of Application for Leave to Appeal

________________________________________________________
(section of the Act or Rules on which this document is based)

Take notice that	_______________________	hereby applies for leave
	(Your name)	hereby applies for leave

to appeal to the Court, pursuant to	________________________________
	(Cite the section of the Act or Rules under which the application for leave is made)

from the judgment of the	____________________	___________________
	(Name of the court appealed from)	(File number from that court)

made	_____________,	and for	_________________________________
	(Date of court of appeal judgment)
____________________________________________________________
(Insert the nature of order or relief sought)
or any other order that the Court may deem appropriate;

And further take notice that this application for leave is made on the following grounds:

Ground 1:	___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________
If you have more than one ground:
Ground 2:	___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________
Ground 3:	___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________

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_____ (Page #)

Continuance of Notice of application for leave to appeal (Form 25A)

NOTE: You may include additional pages if you have more grounds.

Signed By

____________________________
(Your signature)

____________________________

____________________________
(Your name, address, telephone number, fax number and e-mail address, if any)

________________________
(date)

Original to:

the Registrar

Copy to:

(Name, address, telephone number, fax number and e-mail address (if any), of all other parties and interveners in the court appealed from)

_______________________________________________

Notice to the Respondent: A respondent may serve and file a memorandum in response to this application for leave to appeal within 30 days of the date a file number is assigned in this matter. You will receive a copy of the letter to the applicant confirming the file number as soon as it is assigned. If no response is filed within that time, the Registrar will submit this application for leave to appeal to the Court for consideration.

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_____ (Page #)

Fill out this notice along with the accompanying affidavit only if your deadline to file the application for leave to appeal has expired.

Between:

_________________________________________________________
(Name of the applicant as it appears on the court of appeal judgment)

And:

_________________________________________________________
(Name of the respondent as it appears on the court of appeal judgment)

Motion For Extension Of Time
To Apply For Leave To Appeal

Take Notice that	_______________________	hereby applies to a judge
	(Your name)
pursuant to section 47 of the Rules of the Supreme Court of Canada, for an order extending the time within which the applicant may serve and file his / her application for leave to appeal or any other order that the judge may deem appropriate;

And Further Take Notice that the motion shall be made on the following grounds:

Ground 1:

______________________________________________________

Note:

You may include additional pages if you have more grounds.

Signed by

_______________________________
(Your signature)

_______________________________ (date)

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_____ (Page #)

Continuance of Notice of motion for extension of time

Affidavit
In Support Of Motion For Extension Of Time

In this sworn affidavit, you must set out the reason or reasons for the delay.

	I,	_______________________,	DO HEREBY MAKE OATH AND SAY AS FOLLOWS:
		(Your name)	DO HEREBY MAKE OATH AND SAY AS FOLLOWS:

______#
(paragraph)

____________________________________________________

______#
(paragraph)

____________________________________________________

NOTE:

You may include additional pages if needed.

Sworn before me in	_____________	in	_____________	on	___________
	(Name of city, town, etc.)		(Name of province or territory)		(Date)

_____________________________
(A Commissioner for Oaths)

_____________________________
(Your signature)

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_____ (Page #)

This form must be filed out to ensure that we do not release information which is protected.

Form 25B

Certificate

__________________________
(Your name)

hereby certify that:

Please check box:

1.	There is a ban on the publication of evidence or the names or identity of a party or a witness.
	□ NO
	□ YES Give details:	_________________________________________ _________________________________________ _________________________________________
2.	This matter was sealed in the courts below.
	□ NO
	□ YES Give details:	_________________________________________ _________________________________________ _________________________________________
3.	I am filing sealed or confidential information that should not be accessible to the public by virtue of an order or specific legislation.
	□ NO
	□ YES Give details:	_________________________________________ _________________________________________ _________________________________________

Signed By

______________________________
(Your signature)

______________________________
(date)

NOTE: Please include a copy of any applicable lower court order.

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_____ (Page #)

Form 25C

Certificate

Fill out this form only if it is applies.

__________________________
(Your name)

hereby certify that:

The following Supreme Court of Canada Judge	_______________________ (Name of the Judge)
has been previously involved or connected with this case.

Give details:

_________________________________________________

Signed By

______________________________
(Your signature)

______________________________
(date)

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_____ (Page #)

Applicant’s Memorandum Of Argument

Part I – Statement Of Facts
(A concise overview of your position with respect to the issues of public importance and a concise statement of facts.)

______#
(paragraph)

____________________________________________________

______#
(paragraph)

____________________________________________________

______#
(paragraph)

____________________________________________________

You may include additional pages. However, Part I through V of the Memorandum of Argument Must Not Exceed 20 pages.

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_____ (Page #)

part II – Statement Of The Questions In Issue
(A concise statement of the questions in issue.)

______#
(paragraph)

____________________________________________________

______#
(paragraph)

____________________________________________________

______#
(paragraph)

____________________________________________________

You may include additional pages. However, Part I through V of the Memorandum of Argument Must Not Exceed 20 pages.

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_____ (Page #)

Part III – Statement Of Argument
(A concise statement of argument.)

______#
(paragraph)

____________________________________________________

______#
(paragraph)

____________________________________________________

______#
(paragraph)

____________________________________________________

You may include additional pages. However, Part I through V of the Memorandum of Argument Must Not Exceed 20 pages.

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_____ (Page #)

Part IV – Submissions In Support Of Order Sought Concerning Costs
(Submissions, if any, not exceeding one page in support of the order sought concerning costs.)

______#
(paragraph)

____________________________________________________

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_____ (Page #)

Part V – Order Or Orders Sought
(The order or orders sought, including the order or orders sought with respect to costs.)

______#
(paragraph)

____________________________________________________

____________________________________
(Your signature)

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_____ (Page #)

Part VI – Table Of Authorities
(You may include a photocopy or a printout from electronic database of provisions of statutes, regulations, rules, ordinances or by-laws.)

Legislative enactments, case law, articles, texts and treaties

Paragraph

__________________________________________________

..............____#

Part VII – Legislation
(You may include a photocopy or a printout from electronic database of provisions of statutes, regulations, rules, ordinances or by-laws.)

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_____ (Page #)

Documents In Support

(You may include, in chronological order, documents that you wish to rely on.

Note:

If the documents contain transcripts or evidence, only include the relevant parts.

If the documents were included in the record filed with the court appealed from, you may file six copies of that record instead.

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Resources for Self-Represented Litigants

Application For Leave to Appeal - Sample Book

In The Supreme Court Of Canada

Applicant

Respondent

Application for Leave to Appeal

Table Of Contents

Form 25A
Notice of Application for Leave to Appeal

Motion For Extension Of Time
To Apply For Leave To Appeal

Affidavit
In Support Of Motion For Extension Of Time

Form 25B

Certificate

Form 25C

Certificate

Applicant’s Memorandum Of Argument

Documents In Support

Common menu bar links

Institutional links

The Court

Resources for

Site Map

Proactive Disclosure

Resources for Self-Represented Litigants

Application For Leave to Appeal - Sample Book

In The Supreme Court Of Canada

Applicant

Respondent

Application for Leave to Appeal

Table Of Contents

Form 25A Notice of Application for Leave to Appeal

Motion For Extension Of Time To Apply For Leave To Appeal

Affidavit In Support Of Motion For Extension Of Time

Form 25B

Certificate

Form 25C

Certificate

Applicant’s Memorandum Of Argument

Documents In Support

Form 25A
Notice of Application for Leave to Appeal

Motion For Extension Of Time
To Apply For Leave To Appeal

Affidavit
In Support Of Motion For Extension Of Time