Ontario Land Tribunal
655 Bay Street, Suite 1500, Toronto, ON M5G 1E5
Tel: 416-212-6349 | 1-866-448-2248
Web Site: olt.gov.on.ca

CERTIFIED EXHIBIT REQUEST FORM

Instructions:
• Complete one Form for each set of Exhibits you are requesting.
• A fee of $20 is required for each copy of an Exhibit you are requesting.
• Exhibits that have been submitted at the OLT may come in different sizes (i.e. 8.5x11, legal, maps etc) there may be an additional charge for having copies reproduced
• The fee can be paid by certified cheque or money order, in Canadian funds, payable to the Minister of Finance.
• Do not send cash. You may only pay by cash in person.

Date Stamp –
Received by OLT

Requester Information

Last Name:

First Name:

Company Name or Association Name (Association must be incorporated – include copy of letter of incorporation):

Email Address:

Daytime Telephone Number: ext.

Alternative Telephone Number:

Mailing Address:

Unit Number: Street Number:

Street Name: P.O. Box:

City/Town:
Province:

Country: Postal Code:

CERTIFIED EXHIBIT REQUEST FORM

Exhibit Information

Requester Information

Required Fee

OFFICE USE ONLY