Government of Ontario

Tribunals Ontario
Animal Care Review Board

Adjournment Request

Important Information

1. Information about the proceeding you are requesting to adjourn


2. Reason for this adjournment request

I have contacted the other party to this matter and they    

3. Alternate dates parties available

*Provide three dates within the next 20 days that all parties are available to attend.


4. Signature of Requestor


5. *Signature of party consenting to the adjournment


The Animal Care Review Board (ACRB) collects the personal information requested on this form under section 38 of the Provincial Animal Welfare Services Act and section 9(5) of Ontario Regulation 443/19 for the purpose of conducting an appeal proceeding before the ACRB. All information, including sensitive personal and financial information, submitted as part of a proceeding may become public in an open hearing and may be contained in decisions, orders, and case files, unless an order to restrict access is made. Any questions about the collection of information may be directed to the ACRB at

If you have any questions, please contact

Animal Care Review Board
15 Grosvenor St, Ground Fl
Toronto ON  M7A 2G6
Telephone: 416-327-0111 / 1-888-777-3616
Teletypewriter (TTY): 1-800-855-0511
Fax: 416-314-4270 / 1-800-720-5292

0428E (2021/01)       © Queen’s Printer for Ontario, 2021

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