Form IV - Affidavit of Disbursements
Please note, affidavit text samples are provided throughout the sections of this form.
Text within  brackets will be replaced by your answers when you print this form.
Additionally, you must fill the required fields below in order to print the affidavit of disbursements.
In accordance with the Commission's Guidelines for the Assessment of Costs, as set out in Telecom Regulatory Policy CRTC 2010-963, an affidavit, substantially in the form set out below, should be sworn or affirmed by an officer of the applicant or by its legal counsel (the affiant)
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