34. The application for the statement provided for in section 108 of the Act shall contain the following documents and information:(1) the name and address of the member or of his spouse;
(2) in the case of married spouses, a proof of the date of their marriage and either a proof of the date on which proceedings were instituted or, where the application is made on the occasion of a mediation, a joint declaration of the date on which they ceased to live together;
(2.1) in the case of civil union spouses:(a) proof of the date of their civil union;
(b) any of the following documents, as the case may be:i. proof of the date on which the action was instituted;
ii. where the application is made on the occasion of a mediation, a joint declaration of the date on which the spouses ceased to live together;
iii. where the application is made during a joint procedure before a notary for the dissolution of the civil union, a joint declaration of the date set for determining the net value of family patrimony;
(3) in the case of spouses who are not married or civil union spouses, an attestation from the member as to his spousal status as well as an attestation from the member and his spouse of the dates on which their conjugal relationship began and ended and, if they lived in a conjugal relationship for at least 1 year but less than 3 years, a proof of one or the other of the cases referred to in paragraph 2 of the first paragraph of section 85 of the Act.
The application made on the occasion of a mediation shall also contain the written confirmation of an accredited mediator to the effect that he received a mandate within the context of a family mediation. The application made during a joint procedure before a notary for the dissolution of the civil union must also contain a written confirmation of a notary to the effect that he or she received a mandate in connection with the joint procedure.
O.C. 1158-90, s. 34; O.C. 173-2002, s. 28; O.C. 1073-2009, s. 13.