Family Violence Initiative

Sample Application for Disposition of Firearms (s. 117.05)

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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.

APPLICATION

TAKE NOTICE THAT an application is hereby made pursuant to Section 117.05 of the Criminal Code, for an order for the disposition of articles seized by  , peace officer, on  , the   day of  , from   pursuant to Section 117.04 of the Criminal Code.

AND TAKE FURTHER NOTICE THAT if such order is made there may also be an order prohibiting the possession of any weapon, prohibited device, ammunition, prohibited ammunition and explosive substance or any such thing for a period not exceeding five years.

DATED at  , this   day of  , 20 .

TO:  (court)

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 a 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 justice).

DATED at  , this   day of  , 20 .