Government of Ontario

Important Information

• If you would like to request an adjournment of a proceeding before the Fire Safety Commission, complete all sections of this form and submit it to the Commission for consideration.
• You must complete all sections of this form. The processing of your request could be delayed if information is missing.

1. Information about the proceeding you are requesting to adjourn

Name of Appellant
Date (yyyy/mm/dd)     Time a.m.    p.m.

2. Reason for this adjournment request

Describe in detail the reason for this adjournment request. Attach additional pages if you require more space.

3. Alternate dates parties available

4. Signature of Requestor

Name

Signature

Date (yyyy/mm/dd)

5. *Signature of party consenting to the adjournment

Name

Signature


Date (yyyy/mm/dd)

The Fire Safety Commission collects the personal information requested on this form under sections 26, 33, and 36 of the Fire Protection and Prevention Act, 1997. This information is being collected for the purpose of conducting a proceeding before the FSC. Any questions about this collection may be directed to the Fire Safety Commission at 416-326-1356 or toll-free at 1-888-777-3616 or teletypewriter (TTY) at 1-800-855-0511.