FLR-15C-E (2008/04) Page 1 of 4
ONTARIO
Court file number
(Name of Court)
at
Court office address
Form 15C: Consent
Motion to Change
Applicant(s)
Full legal name & address for service — street & number, municipality,
postal code, telephone & fax numbers and e-mail address (if any).
Lawyer’s name & address — street & number, municipality, postal
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
postal code, telephone & fax numbers and e-mail address (if any).
Lawyer’s name & address — street & number, municipality, postal
code, telephone & fax numbers and e-mail address (if any).
Assignee (if applicable)
Full legal name & address for service — street & number, municipality,
postal code, telephone & fax numbers and e-mail address (if any).
Lawyer’s name & address — street & number, municipality, postal
code, telephone & fax numbers and e-mail address (if any).
EACH OF YOU SHOULD CONSIDER GETTING A LAWYER’S ADVICE BEFORE SIGNING THIS CONSENT.
IF YOU ARE SEEKING TO CHANGE A SUPPORT ORDER OR AGREEMENT THAT HAS BEEN ASSIGNED TO A PERSON OR AGENCY,
YOU MUST SERVE ALL DOCUMENTS ON THE ASSIGNEE AND OBTAIN THE ASSIGNEE’S CONSENT TO ANY CHANGE THAT MAY
AFFECT THE ASSIGNEE’S FINANCIAL INTEREST. FAILURE TO OBTAIN THE ASSIGNEE’S CONSENT MAY RESULT IN A COURT
SETTING ASIDE AN ORDER AND ORDERING COSTS AGAINST THE PARTY WHO DID NOT PROVIDE NOTICE. IT IS THE
RESPONSIBILITY OF THE PERSON SEEKING THE CHANGE TO DETERMINE IF THE ORDER HAS BEEN ASSIGNED. YOU CAN DO
THIS BY SUBMITTING A CONFIRMATION OF ASSIGNMENT FORM. THE CONFIRMATION OF ASSIGNMENT FORM IS AVAILABLE
THROUGH THE MINISTRY OF THE ATTORNEY GENERAL WEBSITE OR AT THE COURT OFFICE.
1. We know that each of us has the right to get advice from his or her own lawyer about this case and understand that signing
this consent may result in a final court order that will be enforced.
2.
We have filed/are filing Financial Statements (Form 13 or 13.1) with the court.
We have agreed not to file any Financial Statements with the court.
3.
We have attached the existing final order or support agreement and ask the court to make an order that changes that order
or agreement as set out below.
CUSTODY/ACCESS
(Complete only if the parties are asking for a change in a custody or access order.)
4.
We agree that (name(s) of person(s) or party(ies))
shall have custody of the following child(ren):
Child's full legal name
Birthdate
(d, m, y)
Age Sex
FLR-15C-E (2008/04) Page 2 of 4
Form 15C: Consent Motion to Change (page 2)
Court file number
We agree that (name(s) of person(s) or party(ies))
shall have access to: (name(s) and birthdate(s) of child(ren))
as follows: (give details of access order)
OR
5.
We agree that (names of parties or persons)
and shall have joint custody of the following child(ren):
Child's full legal name
Birthdate
(d, m, y)
Age Sex
We agree that the residential/access arrangements for the child(ren) (name(s) and birthdate(s) of child(ren))
shall be as follows:
CHILD SUPPORT
(Complete only if the parties are asking for a change in child support.)
6. We agree to an order for child support that is:
equal to or more than what is in the Child Support Guidelines.
none (no child support).
less than what is in the Child Support Guidelines for the following reasons:
7. The party receiving support is is not receiving social assistance.
8. We agree that child support shall be as follows:
Based on the payor’s annual income of
$
, (name of party)
shall pay to (name of party) $ per month
for the following child(ren) (name(s) and birthdate(s) of child(ren))
with payments to begin on (date)
.
Starting on (date)
, (name of party)
shall pay (name of party) $ for the
following special or extraordinary expenses:
FLR-15C-E (2008/04) Page 3 of 4
Form 15C: Consent Motion to Change (page 3)
Court file number
Child’s name Type of expense
Total Amount of
Expense
Payor’s Share
Terms of Payment
(frequency of payment,
date due, etc.)
$ $
$ $
$ $
$ $
$ $
(Complete only if the parties are agreeing to special or extraordinary expenses.)
The recipient’s total annual income is
$
.
The order or agreement for child support, with respect to the child(ren) (name(s) and birthdate(s) of child(ren))
dated , shall be terminated as of (date)
.
Complete if applicable:
9. We also agree that the outstanding child support owed be paid off as follows:
The child support owed to (name of recipient) shall be
fixed at $ as of (date) and (name of payor)
shall pay (name of recipient)
$ per month, with payments to begin on (date) until the
full amount owing has been paid.
The child support owed to (name of agency or other person) shall be
fixed at $ as of (date) and (name of payor)
shall pay (name of recipient)
$ per month, with payments to begin on (date) until the
full amount owing has been paid.
SPOUSAL SUPPORT
(Complete only if the parties are seeking a change in spousal support.)
10. We agree that the spousal support payments should be as follows:
(Name of party)
shall pay to
(name of party)
the amount of
$ per month, with payments to begin on (date)
.
The order or agreement for spousal support, dated , shall be terminated
as of (date)
.
11. We agree that the outstanding spousal support owed be paid off as follows:
The spousal support owed to (name of recipient) shall be
fixed at
$
as of (date) and (name of payor)
shall pay (name of recipient)
$ per month, with payments to begin on (date) until the
full amount owing has been paid.
FLR-15C-E (2008/04) Page 4 of 4
Form 15C: Consent Motion to Change (page 4)
Court file number
The spousal support owed to (name of agency or other person)
shall be fixed at
$ as of (date) and (name of payor)
shall pay (name of recipient)
$ per month, with payments to begin on (date)
until the full amount owing has been paid.
NOTE: If money is owed to an agency or other person (an assignee), a representative of that agency or the other person must
consent to the change in the order.
OTHER
(Complete if applicable.)
12. We agree that paragraph(s) (specify which paragraphs of the order are to be changed)
of the order
of Justice (name of judge) , dated
,
shall be changed as follows: (give details of the order you want the court to make)
The parties do not need to sign this consent at the same time. Each party must sign in the presence of his or her witness who shall
sign immediately after that party.
NOTE: The witness cannot be one of the parties. If the witness does not know the party, the witness should see identification that
proves that the person signing the consent is the same person who is a party to the consent.
Applicant's signature Respondent's signature
Date of applicant's signature Date of respondent's signature
Signature of witness Signature of witness
Type or print name of witness to applicant’s signature Type or print name of witness to respondent’s signature
Address of witness Address of witness
Telephone number of witness Telephone number of witness
ASSIGNEE’S CONSENT
Signature of person authorized to sign on behalf of assignee Date of signature
Print name and title of person signing the consent
Witness’s signature Name of witness (type or print legibly)
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