1. Every application for a statement referred to in section 246.16 of the Courts of Justice Act (chapter T-16) 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 judge or former judge 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;
(3) a written confirmation from a certified mediator to the effect that the mediator has obtained a family mediation mandate or a written confirmation from a notary to the effect that the spouses in a civil union 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 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;
(4) the information that must be provided by the Minister of Justice and by the municipalities that joined the pension plan provided for in Part V.1 or VI of the Act, in accordance with section 246.27 of the Act, for the year during which the assessment is determined up to the date set for that assessment, as well as for the previous year; that information must be certified by the Minister of Justice or the municipality concerned.