Form 2 "Application to Vary or Revoke an Emergency Protection Order or a Community Intervention Order" - Nunavut, Canada

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FORM 2
(Subsection 3(2))
APPLICATION TO VARY OR REVOKE
AN EMERGENCY PROTECTION ORDER
OR A COMMUNITY INTERVENTION ORDER
(Under sections 7 and 17 of the Family Abuse Intervention Act)
______________________________________________
(Name of Applicant in Order)
AND
______________________________________________
(Name of Respondent in Order)
I, ______________________________________________, am applying to VARY/REVOKE a:
(Name of Applicant)
(mark as appropriate)
OR
Emergency Protection Order
Community Intervention Order
Issued in ___________________________, Nunavut on _______________________, 20____ by
(community)
(date)
______________________________________________________________________________
(name of designated Justice of the Peace or Judge)
The following changes have happened since the Order was made and support this Application:
(An Order will only be varied or revoked if there has been a "material change in circumstances")
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Dated at _____________, Nunavut
}
(community)
On: _________________________
}
__________________________________
(month, day, yea)
(Signature of Applicant)
FORM 2
(Subsection 3(2))
APPLICATION TO VARY OR REVOKE
AN EMERGENCY PROTECTION ORDER
OR A COMMUNITY INTERVENTION ORDER
(Under sections 7 and 17 of the Family Abuse Intervention Act)
______________________________________________
(Name of Applicant in Order)
AND
______________________________________________
(Name of Respondent in Order)
I, ______________________________________________, am applying to VARY/REVOKE a:
(Name of Applicant)
(mark as appropriate)
OR
Emergency Protection Order
Community Intervention Order
Issued in ___________________________, Nunavut on _______________________, 20____ by
(community)
(date)
______________________________________________________________________________
(name of designated Justice of the Peace or Judge)
The following changes have happened since the Order was made and support this Application:
(An Order will only be varied or revoked if there has been a "material change in circumstances")
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Dated at _____________, Nunavut
}
(community)
On: _________________________
}
__________________________________
(month, day, yea)
(Signature of Applicant)