Smart Start Canada – Enroll in the SmartMobile™ Family Law Program

Client Information

Client Name*

Date of Birth*

Street Address*

Province*

City*

Postal Code*

Phone Number*

Email

Program Start Date

The client is required to pick up their device and begin the program by:

Are you currently, or have you ever been, a client of Smart Start?*

How did you hear about Smart Start?

Referral Name (If Applicable)

Customized Test Windows

Use the fields below to set up a schedule that's specifically tailored for your client, with Scheduled or Random testing. You can specify up to 10 tests each day by clicking on the plus symbol on each line.

PLEASE NOTE: If you choose not to customize testing, test windows will automatically be scheduled for 6 a.m. to 8 a.m.; Noon to 2 p.m.; 5 p.m. to 7 p.m.; 9 p.m. to 11 p.m.

Sunday

SUNDAY

Start	End	Timing

Monday

MONDAY

Start	End	Timing

Tuesday

TUESDAY

Start	End	Timing

Wednesday

WEDNESDAY

Start	End	Timing

Thursday

THURSDAY

Start	End	Timing

Friday

FRIDAY

Start	End	Timing

Saturday

SATURDAY

Start	End	Timing

Monitoring Authorities

Choose up to four recipients to receive reports via email or have access to SmartWeb. Note: SmartWeb access is reserved for lawyers and court officials.

If you are enrolled or are a lawyer/court representing a client in the Family Law Program, and need to make changes to your account, email smartmobile@smartstartcanada.ca.

Monitoring Contacts

Name *	Address	Email *	Phone Number

Western/Central Canada: (844) 432-4776

Province of Québec: (844) 282-8300

Family Law Enrollment Form