Rules of the Supreme Court of Canada

(Style of Cause (Rule 22) — Use Form 1 of Guidelines for Preparing Documents to be Filed with the Supreme Court of Canada (Print and Electronic))

(If either this certificate or any documents to be filed contain information that is subject to a sealing or confidentiality order from a lower court or the Court or that is classified as confidential by legislation, it shall be sealed in an envelope and accompanied by a redacted version of the certificate and of the documents. Refer to Rule 19.1 and the Guidelines for Preparing Documents to be Filed with the Supreme Court of Canada (Print and Electronic).)

I, (name), (counsel or agent) for (name of applicant, appellant or respondent) certify that I am filing

(1) Documents that include information that is subject to a sealing or confidentiality order from a lower court or the Court in effect in the file.		□ Yes□ No
(2) Documents that include information that is subject to a ban on the publication of evidence or the names or identity of a party or witness under an order in effect in the file or under legislation.		□ Yes□ No
(3) Documents that include information that is classified as confidential under legislation.		□ Yes□ No
(4) Documents that contain information to which public access is restricted in the file in a lower court.		□ Yes□ No

If you have answered “Yes” to any of these questions, provide the information indicated below, if applicable.

• (a) The (identify documents(s) filed) include(s) information that is subject to a sealing or confidentiality order at (identify volume(s), section(s) or page(s) in each document). This information is only accessible to (identify parties or persons and state whether the information can be made available to court staff).

• (b) The (identify documents(s) filed) include(s) information that is subject to a publication ban at (identify volume(s), section(s) or page(s) in each document).

• (c) The (identify documents(s) filed) include(s) information that is classified as confidential under legislation at (identify volume(s), section(s) or page(s) in each document).

• (d) The (identify documents(s) filed) include(s) information to which public access is restricted in the file in a lower court at (identify volume(s), section(s) or page(s) in each document).

Dated at (place), (province or territory) this (date) day of (month), (year).

(Counsel or Agent) for (name of applicant, respondent or appellant)

Signature

ORIGINAL TO: THE REGISTRAR

COPIES TO: (Name, address and telephone number, and fax number and email address (if any), of all other parties)