C-26, r. 220 - Regulation respecting the conciliation and arbitration procedure for the accounts of psychologists

Schedule Disposition versions

2012-09-01

SCHEDULE II

(ss. 7 and 14)

AGREEMENT RELATIVE TO A DISPUTE SUBMITTED FOR CONCILIATION OR ARBITRATION

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hereinafter referred to as “the client”,

and

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(name and professional domicile of the psychologist)

hereinafter referred to as “the psychologist”, who declare and agree to the following:

An agreement was entered into by the client and the psychologist concerning the dispute submitted for __________(conciliation or arbitration)__________ applied for on __________(date)__________

The agreement provides for the following terms and conditions:

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The client and the psychologist request that the procedures relating to the dispute referred to above be stayed.

Signed at ______________________________ Signed at ______________________________

(place) (place)

on ___________________________________ on ___________________________________

(date) (date)

______________________________________ ______________________________________

(signature of the client) (signature of the psychologist)

Signed at ______________________________

(place)

on ___________________________________

(date)

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(signature of the syndic or the chair of the council of arbitration)

O.C. 145-2000, Sch. II; O.C. 246-2000, s. 1.