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JSG Application Access Edisclosure Service Form

Edisclosure

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Melan muir
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8 views

JSG Application Access Edisclosure Service Form

Edisclosure

Uploaded by

Melan muir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for Access to E-Disclosure Service

Identification of Defence Counsel Applicant


First Name Middle Name Last Name

Law Firm Name Law Society Bar Card ID #

Address Floor/Office City Province Postal Code

Email Verify Email

To obtain access to this service, counsel must provide a phone number to be used for log in verification. You can provide one
additional phone number. Once registered, users are assigned a user ID, password and PIN.
Primary phone number for verification
Second phone number (optional)

Confidentiality Agreement and Conditions of Use


I hereby apply for credentials (user ID, password and PIN) to access the E-Disclosure service. I acknowledge and agree that such
credentials are confidential to me and my firm. I give an undertaking for me and on behalf of my firm to:
1. Maintain the confidentiality of the credentials (user ID, PIN and password).
2. Only use the said service for the purposes of obtaining disclosure.
I acknowledge that failure to abide by the above undertaking may result in a refusal of access to the service.
I agree to promptly email [email protected] of any potential confidentiality breach and/or change to the above details
in the Identification of Defence Counsel Applicant section above.

Dated at ________________________________, Alberta this ________________ day of _________________, 20___

Signature: _______________________________________ Verified by: _____________________________________


(Please sign in the presence of the verifier)

Application Form Instructions


1. Complete the form online.
2. Once the form is completed:
a. Save a copy for your records.
b. Print and bring the form to a designated verifier in your area. You will be required to present your Alberta Law
Society Identification Card and sign the form in the presence of the verifier.

OFFICE USE ONLY


Once verified, email a copy of the completed application to: [email protected].

April 06, 2017

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