Only Use This Form If You Objectto the Proposed Settlement

NOTICE OF OBJECTION

ONLY USE THIS FORM IF YOU OBJECTTO THE PROPOSED SETTLEMENT

TO:

Sixties Scoop Class Action

c/o Collectiva Class Action Services Inc.

1176 Bishop Street, suite 208

Montreal, Quebec, H3G 2E3

RE: Sixties Scoop Class Action Settlement

My name is ______.

For the reasons stated below, I object to (please specify):

□the terms of proposed settlement.

□the proposed fees and taxes of Class Counsel.

Persons submitting an objection are required to complete and deliver this Objection Form by no later than April 30, 2018.

I object for the following reasons (please attach extra pages if you require more space):

______

______

______

______

______

______

______

______

□I have enclosed copies of documentation supporting my objections.

□I have NOT enclosed documentation supporting my objections and I do not intend to provide any.

The location where I was taken from my home is:

Address:

□I do NOT intend to appear at or videoconference into the hearings of the motions to approve the proposed settlement, and I understand that my objection will be filed with the court prior to the hearing of the motion on May 10 and 11, 2018 in Saskatoon, Saskatchewan and May 29 and 30, 2018 in Toronto, Ontario.

□I intend to appear, in person or by counsel, and to make submissions at the hearing.

□I intend to appear at the motion to approve the proposedsettlement in Saskatoon, Saskatchewan on May 10 and 11, 2018 at 10:00 a.m.; or

□I intend to appear at the motion to approve the proposedsettlement in Toronto, Ontario on May 29 and 30, 2018 at 10:00 a.m.

□I intend to videoconference into and to make submissions at the hearing. More information about videoconferencing is available at sixtiesscoopsettlement.info

MY ADDRESS FOR SERVICE IS: / MY LAWYER’S ADDRESS FOR SERVICE IS (if applicable, but you do not need a lawyer to object):
Name:
Address:
Tel.:
Fax:
Email: / Name:
Address:
Tel.:
Fax:
Email:

Date: ______Signature: ______