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MAG007 (08/2007) © Queen's Printer for Ontario, 2007 Disponible en français Page
Ministry of the Attorney General
Ministry File NumberFamily Arbitration Report
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 ArbitratorGiven Name * Family Name *
Street Address *
City * Postal Code * Telephone Number * Fax Number
Email Address *
Section 2 – Information about parties to the ArbitrationParties' 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 1Age * 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 *
Details of any Children who were the subject of the Arbitration
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
Number of Children: * <-- Specify number of children and then click the Add button.
Child No. Age * Gender * Primary Residence at the time of the Arbitration *
Male Female Party 1 Party 2 Both
Section 3 – Details of the ArbitrationDate 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
Other(s) (provide brief details below)
Other Decisions Regarding Children Restrictions on Communications or Contact between Parties
Child Custody Child Access
Spousal Support Child Support
MAG007 (08/2007) © Queen's Printer for Ontario, 2007 Disponible en français Page
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 PlusChild Custody, Access and Support ArrangementsIs the Award the same for all of the Children? *
Yes No (If yes, only the information under “Child 1” needs to be completed)
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 1Party 2Both
must not 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:
communicate with
have physical contact with