You are here Specific Claims Tribunal Procedures Forms and Templates Declaration of Claim Download Word version Tribunal File No. SPECIFIC CLAIMS TRIBUNAL BETWEEN: Name of First Nation(s) Claimant(s) and HIS MAJESTY THE KING IN RIGHT OF CANADA As represented by the Minister of Crown-Indigenous Relations Respondent DECLARATION OF CLAIM Pursuant to Rule 41 of the Specific Claims Tribunal Rules of Practice and Procedure This Declaration of Claim is filed under the provisions of the Specific Claims Tribunal Act, SC 2008, c 22, and the Specific Claims Tribunal Rules of Practice and Procedure, SOR/2011-119. Date Registry Officer TO: Assistant Deputy Attorney General, Litigation, Justice Canada Bank of Canada Building, 234 Wellington Street East Tower Ottawa, Ontario K1A 0H8 Fax Number: (613) 954-1920 I. Claimant(s) (Subrule 41(a) of the Rules) 1. The Claimant, confirm(s) that it is a or they are - None -it is athey are First Nation(s) within the meaning of section 2 set out which of paragraphs (a) to (c) apply of the Specific Claims Tribunal Act, SC 2008, c 22, in the Province(s) or territory(ies) of Name of province or territorie(s) II. Conditions Precedent (Subrule 41(c) of the Rules) 2. The following conditions precedent as set out in subsection 16(1) of the Specific Claims Tribunal Act, SC 2008, c 22, have been fulfilled: Set out, as applicable, from paragraphs 16(1)(a) to (d) of the Act III. Claim Limit (Paragraph 20(1)(b) of the Act) A statement that for the purposes of the claim, the Claimant(s) does not seek compensation in excess of $150 million. 3. IV. Grounds (Subsection 14(1) of the Act) 4. The following are the grounds for the Claim, as provided for in section 14 of the Specific Claims Tribunal Act, SC 2008, c 22: Set out, as applicable, from paragraphs 14(1)(a) to (f) of the Act V. Allegations of Fact (Subrule 41(e) of the Rules) Set out, in numbered subparagraphs, the allegations of fact that are said to establish the basis for the Claim 5. VI. The Basis in Law on Which the Crown is Said to Have Failed to Meet or Otherwise Breached a Lawful Obligation VI. The Basis in Law on Which the Crown is Said to Have Failed to Meet or Otherwise Breached a Lawful Obligation 6. Per Practice Direction No. 1, amended on January 14, 2025. VII. The Type(s) of Compensation the Claimant(s) Intend(s) to Claim Under Subsection 20(1) of the Act VII. The Type(s) of Compensation the Claimant(s) Intend(s) to Claim Under Subsection 20(1) of the Ac 7. Per Practice Direction No. 1, amended on January 14, 2025. Dated this ___________________________________ Counsel signature Name of counsel Counsel for the Claimant(s) Address of counsel Email of counsel Telephone number of counsel Fax number of counsel Print
