Government of Ontario: Ministry of the Attorney General

Family Arbitration Report

Ministry File Number

To be completed by the Arbitrator for every family arbitration conducted in the province of Ontario as required by O. Reg 134/07
The deadline for submitting this form is:

November 30 for all family arbitrations completed during the preceding period of April 1 to September 30 and
May 31 for all family arbitrations completed during the preceding period of October 1 to March 31

Fields marked with an asterisk (*) are required.

Section 1 – Information about the Arbitrator

Give Name *
Family Name *
Street address *
City * Postal code *

Telephone Number * ( )

Fax Number ( )

Email Address *

Section 2 - Information about parties to the Arbitration

Parties' Relationship * Married Common Law Other

Duration of the Parties’ Spousal Relationship * Less than 1 Year 1-3 Years 3-5 Years 5-10 Years More than 10 Years N/A

Party 1 Age *

Gender * Male Female

Approximate income at the time of parties’ separation
Check if not relevant to the award

Approximate net worth at the time of parties’ separation
Check if not relevant to the award

Party 2 Age *

Gender * Male Female

Approximate income at the time of parties' separation
Check if not relevant to the award

Approximate net worth at the time of parties’ separation *
Check if not relevant to the award

Details of any Children who were the subject of the Arbitration

Number of Children:

Child 1 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 2 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 3 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 4 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 5 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 6 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 7 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 8 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 9 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 10 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 11 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Child 12 Age *

Gender * Male Female

Primary Residence at the time of the Arbitration * Party 1 Party 2 Both

Section 3 – Details of the Arbitration

Date of Arbitration Award (dd/mm/yy) *

Was a hearing held? * Yes No

If a hearing was held, please complete the following: Date the hearing began (dd/mm/yy)
Duration of hearing (in days)

The following issues were Arbitrated (check all those that apply)

Property Division/Equalization of Net Family Property
Exclusive Possession/Sale of Matrimonial Home
Spousal Support
Child Support
Child Custody
Child Access
Other Decisions Regarding Children
Restrictions on Communications or Contact between Parties
Other(s) (Please provide brief details below)

Section 4 – Details of the Arbitration Award (Complete all applicable sections)

Equalization payment awarded *

Amount of Spousal Support Awarded: (Monthly) *

Duration of the Spousal Support Award: * Less than 1 Year 1-5 Years 6-10 Years 10 Years Plus

Child Custody, Access and Support Arrangements

Is the Award the same for all of the Children? * Yes (If yes, only the information under “Child 1” needs to be completed)
No

Child 1

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 2

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 3

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 4

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 5

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 6

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 7

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 8

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 9

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 10

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 11

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Child 12

Custody Awarded to: Party 1 Party 2 Both

Access Awarded to: Party 1 Party 2 N/A

Child Support to be paid by: Party 1 Party 2

Details (Provide brief outline of custody and access arrangements)

Is the child support amount based on Provincial or Federal Child Support Guidelines? Yes No

Was life insurance coverage ordered for the child support payor? Yes No

Were special or extraordinary child support expenses awarded? Yes No

Details (Provide brief outline of child support)

Details on any restrictions in the Award on communications and/or contact
between the parties: Party 1 Party 2 Both

must not communicate with have physical contact with

the other party as follows:

Is the Arbitration Award subject to periodic review? * Yes No

If yes, how frequently?

Additional information relating to the Arbitration Award:

MAG007 (08/2007)

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