I-10, r. 10 - Regulation respecting the procedure for conciliation and arbitration of accounts of forest engineers

Schedule Disposition versions

2012-09-01

SCHEDULE I

(s. 2.02)

APPLICATION FOR CONCILIATION

I, the undersigned, __________(name and address)__________ in person or (where applicable) representing ______________________________ for the purposes of this application, as attested to by the authorization annexed hereto, being duly sworn, declare:

(1) __________(name of forest engineer)__________ claims from me the sum of ______________________________ for professional services rendered between ______________________________ and ______________________________ as attested to by the account a copy of which is annexed hereto;

(2) I refuse to pay this account for the following reason(s):

---

---

---

but (where applicable) I acknowledge that I owe the sum of ______________________________ for the professional services referred to in such account;

(3) I apply for conciliation by the syndic pursuant to Division II of the Regulation respecting the procedure for conciliation and arbitration of accounts of forest engineers (chapter I-10, r. 10), of which I declare having received a copy and taken cognizance.

Sworn to before me

at ____________________________________ this _____________________________________ 20__________

And I have signed

---

(signature of client or his duly authorized representative)

---

(Commissioner for oaths)

R.R.Q., 1981, c. I-10, r. 8, Sch. 1.