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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.
UPON the application of (peace officer, firearms officer, chief firearms officer) for an order pursuant to section 111 of the Criminal Code prohibiting the respondent, named from possessing any firearm, cross-bow, prohibited weapon, restricted weapon, prohibited device, ammunition, prohibited ammunition or explosive substance.
UPON hearing the evidence adduced and what was alleged by the applicant and by the respondent and it appearing that there are reasonable grounds to believe that it is not desirable in the interests of the safety of the respondent or other person, namely, that the respondent should possess any firearm, cross-bow, prohibited weapon, restricted weapon, prohibited device, ammunition, prohibited ammunition or explosive substance.
IT IS ORDERED THAT is hereby prohibited from having in his/her possession any firearm, cross-bow, prohibited weapon, restricted weapon, prohibited device, ammunition, prohibited ammunition or explosive substance for a period of years to be computed from the date this order is made.
In accordance with s.115 of the Criminal Code but subject to any other term of this order, every item prohibited by this order and in the possession of the accused on the commencement of this order:
THIS COURT THEREFORE ORDERS THAT
NOTE: Pursuant to s.116 of the Criminal Code, every authorization, licence and registration certificate relating to anything to the possession of which is prohibited by this order and issued to the person against whom this order is made is, on the commencement of this order, revoked or amended, as the case may be, to the extent of the prohibition in this order.
AND THIS COURT FURTHER DIRECTS THAT A COPY OF THIS ORDER BE SENT TO THE
CHIEF FIREARMS OFFICER
DATED at , this day of , 20 .