Form 15C

Courts of Justice Act

NOTICE OF INTENTION TO ACT IN PERSON

(General heading)

NOTICE OF INTENTION TO ACT IN PERSON

The plaintiff (or as may be), formerly represented by (name) as solicitor of record, intends to act in person.

(Date)

(Name, address for service and telephone number of party intending to act in person)

TO                 (Name and address of former solicitor of record)

AND TO       (Names and addresses of solicitors for all other parties, or names and addresses of all other parties)

RCP-E 15C (November 1, 2005)