OLT Case Number:

Municipality:   

My name is:  (name)

I live at the:  (municipality)

in the:  (county or region)

in the:  (province)

I have been engaged by or on behalf of (name of party/parties) to provide evidence in relation to the above-noted Ontario Land Tribunal (`Tribunal`) proceeding.

• I acknowledge that it is my duty to provide evidence in relation to this proceeding as follows:
1. to provide opinion evidence that is fair, objective and non-partisan;
2. to provide opinion evidence that is related only to matters that are within my area of expertise;
3. to provide such additional assistance as the Tribunal may reasonably require, to determine a matter in issue; and
4. not to seek or receive assistance or communication, except technical support, while under cross-examination, through any means including any electronic means, from any third party, including but not limited to legal counsel or client.

Date: Signature: