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Sample Application for Prohibition Order - Firearms (s. 111)
(PDF Version 165 KB, PDF Help)
NOT AN OFFICIAL FORM
Included only as guidelines for assistance with Criminal Harassment cases. For further information contact the National Weapons Enforcement Support Team (NWEST)
at1-800-731-4000 Ext 2053.
Canada,
Province of
(territorial division)
IN THE MATTER OF AN APPLICATION TO
A PROVINCIAL COURT JUDGE FOR AN
ORDER PROHIBITING A PERSON FROM
POSSESSING FIREARMS, WEAPONS,
AMMUNITION, EXPLOSIVES ETC.
PURSUANT TO SECTION 111 OF THE
CRIMINAL CODE.
APPLICATION
TAKE NOTICE THAT application is hereby made by (peace officer, firearms officer or chief firearms officer) for an Order pursuant to Section 111 of the Criminal Code that be prohibited from having in his possession any firearm, crossbow, prohibited weapon, restricted weapon, prohibited device, ammunition, prohibited ammunition or explosive substance.
DATED at , this day of , 20 .
TO: A Judge of the Provincial Court
Signature of peace officer, firearms officer or chief firearms officer
Pursuant to this Application, I hereby fix day, the day of , 20 , at a.m./p.m. at for the hearing AND I DIRECT that notice of the hearing be given to (respondent/counsel/agent) by serving a copy hereof upon him/her (personally/ by registered mail/by substituted service/by any other method specified by the Provincial Court Judge).
DATED at , this day of , 20 .
Provincial Court Judge
