Government of Ontario: Ministry of Northern Development and Mines

Dispute Against a Recorded Claim

Mining Act

Transaction Number (office only)

Personal information collected on this form is obtained under the authority of the Mining Act. This information will be used for serving notice. Questions about this collection should be directed to a Provincial Mining Recorder, Ministry of Northern Development and Mines, 3rd Floor, 933 Ramsey Lake Road, Sudbury, Ontario, P3E 6B5. Phone number 1-888-415-9845 or (705) 670-5742. Fax No. 1-877-670-1444 or (705) 670-5681.

Mining Division

Certificate Verifying Dispute


  1. I have personal knowledge of the matters mentioned in the annexed dispute and the statements contained in it are true.

Disputant’s Telephone No.
Fax Number

"Mining Lands Website:"

0237E (04/2006)

Version française disponible

© Queen’s Printer for Ontario, 2006