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Provincial Offences Act forms

The forms located in the table below are for informational purposes only. They cannot be filled in electronically, and you should not bring them to court.

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Form Code Form Title Version Date Effective Date PDF Word
POA 0847 Certificate of Offence, Form 1 November 2, 2011 March 31, 2012 - Certificate of Offence, MS Word
POA 0816 Red Light Camera Certificate of Offence, Form 2 November 2, 2011 March 31, 2012 - Red Light Camera Certificate of Offence, MS Word
POA 0848 Offence Notice, Form 3 November 2, 2011 March 31, 2012 - Offence Notice, MS Word
POA 0849 Offence Notice, Form 4 November 2, 2011 March 31, 2012 - Offence Notice, MS Word
POA 0818 Red Light Camera System Offence Notice, Form 5 November 2, 2011 March 31, 2012 - Red Light Camera System Offence Notice , MS Word
POA 0850 Red Light Camera System Offence Notice, Form 6 November 2, 2011 March 31, 2012 - Red Light Camera System Offence Notice , MS Word
POA 0861 Summons, Form 7 March 17, 2011 March 31, 2012 - Summons, MS Word
POA 0851 Early Resolution Meeting Notice (in person), Form 7.1 November 2, 2011 March 31, 2012 - Early Resolution Meeting Notice (in person), MS Word
POA 0852 Early Resolution Meeting Notice (by electronic method), Form 7.2 November 2, 2011 March 31, 2012 - Early Resolution Meeting Notice (by electronic method), MS Word
POA 0853 Early Resolution Outcome, Form 7.3 November 2, 2011 March 31, 2012 - Early Resolution Outcome, MS Word
POA 0813 Notice of Intention to Appear, Form 8 March 17, 2011 March 31, 2012 - Notice of Intention to Appear, MS Word
POA 0814 Notice of Trial, Form 9 November 2, 2011 March 31, 2012 - Notice of Trial, MS Word
POA 0854 Notice of Fine and Due Date, Form 10 November 2, 2011 March 31, 2012 - Notice of Fine and Due Date, MS Word
POA 0855 Certificate of Parking Infraction, Form 11 March 17, 2011 March 31, 2012 - Certificate of Parking Infraction, MS Word
POA 0856 Parking Infraction Notice, Form 12 March 17, 2011 March 31, 2012 - Parking Infraction Notice, MS Word
POA 0857 Parking Infraction Notice, Form 13 March 17, 2011 March 31, 2012 - Parking Infraction Notice, MS Word
POA 0858 Notice of Impending Conviction, Form 14 March 17, 2011 March 31, 2012 - Notice of Impending Conviction, MS Word
POA 0812 Notice of Impending Conviction, Form 15 March 17, 2011 March 31, 2012 - Notice of Impending Conviction, MS Word
POA 0803 Certificate Requesting Conviction, Form 16 March 17, 2011 March 31, 2012 - Certificate Requesting Conviction, MS Word

To review previous versions of these forms, visit the Forms Archive.

 

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