Government of Ontario

Animal Care Review Board
Safety, Licensing Appeals and
Standards Tribunals Ontario

PO Box 250
Toronto ON  M7A 1N3
Telephone: 416-212-0334
Fax:            416-314-4270

Adjournment Request

Important Information

1. Information about the proceeding you are requesting to adjourn


2. Reason for this adjournment request

I have contacted the other party to this matter and they    

3. Alternate dates parties available

*Provide three dates within the next 20 days that all parties are available to attend.


4. Signature of Requestor


5. *Signature of party consenting to the adjournment


The Animal Care Review Board collects the personal information requested on this form under section 17 of the Ontario Society for the Prevention of Cruelty to Animals Act. This information is being collected for the purpose of conducting a proceeding before the ACRB. Any questions about this collection may be directed to the Animal Care Review Board at 416-212-0334 or toll-free at 1-855-444-7454.

0428E (2019/07)       © Queen’s Printer for Ontario, 2019

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