1. An application for the statement referred to in section 56 of the Act respecting the conditions of employment and the pension plan of the Members of the National Assembly (chapter C-52.1) must contain the following information and be accompanied by the following documents:(1) the name, address, social insurance number and date of birth of the Member or former Member and his or her spouse;
(2) a marriage certificate and, where applicable, the date on which the spouses resumed living together, or a certificate of civil union; and
(3) written confirmation from a certified mediator to the effect that he or she has been given a family mediation mandate or written confirmation from a notary to the effect that the spouses have undertaken a joint procedure for the dissolution of their civil union or, as the case may be, the joint declaration dissolving the civil union and the notarized transaction contract, or a copy of the judicial application for separation from bed and board, divorce, annulment of marriage, dissolution of civil union or payment of a compensatory allowance or, where applicable, a copy of the judgment disposing of such an application.
An application filed under this section is also valid for the supplementary benefits plan for Members of the National Assembly.