Government of Ontario

Licence Appeal Tribunal

15 Grosvenor Street, Ground Floor,
Toronto ON    M7A 1N3
Telephone: 416-326-1356
Toll Free: 1-888-444-0240
TTY: 1-800-855-0511

Request for an Adjournment

Important Information

Information about the Proceeding
you are Requesting to Adjourn


I have contacted the other parties to this matter and they:

Alternate Dates Parties are Available:

* If all parties consent to this adjournment, provide three dates within the next 30 days that all parties are available to attend. If all parties do not consent, provide three dates in the next 30 days, you the requestor are available to attend.

Signature of Requestor:


* Signature of Party Consenting to the


Important: For matters with multiple parties, attach any additional signatures on a separate page.

The Licence Appeal Tribunal collects the personal information requested on this form under section 3 of the Licence Appeal Tribunal Act, 1999. This information will be used to determine appeals under this Act. After an appeal is filed, all information may become available to the public. Any questions about this collection may be directed to the Licence Appeal Tribunal at 416-326-1356 or toll-free at 1-888-444-0240.