Rules of the Supreme Court of Canada (SOR/2002-156)

(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))

TAKE NOTICE that I, (name), (counsel or agent) for (name of appellant or respondent) assert that the appeal raises the following constitutional question(s):

AND TAKE NOTICE that an attorney general who intends to intervene with respect to this constitutional question may do so by serving a notice of intervention in Form 33C on all other parties and filing the notice with the Registrar of the Supreme Court of Canada within four weeks after the day on which this notice is served.

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

SIGNED BY (signature of counsel or party or agent)

Party serving notice of constitutional question (Counsel’s (or party’s, if unrepresented) name, address and telephone number, and fax number and email address (if any))

Agent (if any) (Agent’s name, address and telephone number, and fax number and email address (if any))

ORIGINAL TO: THE REGISTRAR

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

(When serving notice, include a hyperlink to the judgment granting leave to appeal and the reasons for the judgment appealed from, the legislative provisions at issue and, if applicable, the relevant provisions of the Canadian Charter of Rights and Freedoms and any other legislative provision relied on, in the email.)