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VICTIMS OF S. 672.11

Please fill out the following form. Please note that all fields are required.

Name:
Address:
Email Address:
Phone Number:
Date of Section 672.11 Order:
Period of Custody in Provincial Detention Centre/Prison pending section 672.11 assessment: (#days)
Name of criminal lawyer with carriage of your file:
Please provide us with the details of your story:

* Information provided to this office by e-mail or otherwise will be used to identify you as a potential class member in legal proceedings intended to be launched under the Class Proceedings Act in the Superior Court of Justice on Monday, January 16th, 2006 under the name "Phaneuf v. Her Majesty the Queen in Right of the Province of Ontario.