REQUEST FOR THE TRANSLATION OF A JUDGMENT
INFORMATION ON THE FILE AND THE CLIENT
File number Given name and surname
I am the
Area code Telephone number
Plaintiff Defendant Other(specify):
I am the lawyer for the
Area code Fax number
Plaintiff Defendant Other(specify):
Iaskthatthetranslatedjudgmentbesenttothefollowingaddress: Iwillretrievethetranslated
judgment at the courthouse
Boxnumber:
JUDGMENTS TO BE TRANSLATED
Judgment (in civil and family matters, indicate the
Date Code
French to English
Number of copies
registration number of the judgment) English to French
requested
-00- -
Certified copy
Judgment (in civil and family matters, indicate the
Date Code
French to English
Number of copies
registration number of the judgment) English to French
requested
-00- -
Certified copy
Judgment at the hearing (Computerized minutes)
Date Code
French to English
Number of copies
English to French
requested
Certified copy
Judgment at the hearing (Computerized minutes)
Date Code
French to English
Number of copies
English to French
requested
Certified copy
Comments (attach an appendix if required):
Exemption from paying court costs (additional copies)
Legal aid mandate (enclose a copy) Other(specify):
Signature Date
RESERVED FOR THE COURT OFFICE
Exemptiondepaiement Nombredepages:
Mandatd’aidejuridique Coûttotal:
Autremotif: NuméroAT@C:
Reçue le Traitée le Par
(Detachable portion – For use by the court clerk)
PAYMENT OF COURT COSTS BY CREDIT CARD
Type of credit card MasterCard Visa American Express
Nameofcardholder:
Cardnumber: Expirationdateofthecard:
CONSENT I consent to the fees for copies being debited from my credit card, up to an amount of $ .
Signature Date
•SJ-1138A(2016-03)