Rules of the Supreme Court of Canada

I, (name of deponent), (profession of deponent), of (place, province or territory), MAKE OATH AND SAY AS FOLLOWS:

THAT on the (date) day of (month), (year), I did serve (name of person served), with a true copy of the (identify document served) by (list the method or methods of service used):

• (a) ordinary mail;

• (b) registered or certified mail or by courier (annex a post office receipt, a receipt bearing the signature of the person served or a copy of the tracking results of the courier service indicating the status of the delivery of the document); or

• (c) electronic mail.

Sworn (or Affirmed) before me at

the (City, Town, etc.) of (name) in the (Province or Territory) of (name), this day of , 20.

A Commissioner of Oaths

(Signature of deponent)