CONSENT TO COURT DATE Court File Number:

In the Provincial Court of British Columbia FMEP Case Number:

Under the Family Law Act /
Family Maintenance Enforcement Act Court Location:

CONSENT TO COURT DATE

Case name In the case between:
as it appears on the NAME
application.

And:
NAME

Court date We agree to appear on the following trial date:

Check the
date
at time
appropriate box and
fill in the required
information.
You must contact the
We agree to adjourn the first appearance originally set for date

registry and ask for and to appear on the following date:

a date acceptable to
at
at time
date
both parties and to
the court.
To change a trial
date, you must file We agree to change the trial date originally set for date courtroom number (if known)
this form with the
registry at least 45 and to appear on the following date:
days before the date
at time
original trial date.

Court location at: court location courtroom number (if known)

Sign your name

and provide your Signature of witness
address.
Signature of party Signature of witness
A witness must be
present when you
sign, and must then print name print
sign this form.
address of party name
and address and address
of witness of witness

postal code phone

State today’s date. phone

date of signature

date of signature

Sign your name

and provide your
address.
Signature of party Signature of witness
A witness must be
present when you
sign, and must then address of party print name and address of witness
sign this form.

postal code phone

State today’s date.

date of signature

Note: if a party does not appear in court on the agreed date, the court may make an order in that party’s absence,
or may issue a warrant for the arrest of that party.
PFA 883 03/2013

1-COURT FILE 2-PARTY 3-PARTY 4-LAWYER/FAMILY JUSTICE COUNSELLOR