Family Violence Initiative

Sample Prohibition Order following Forfeiture (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.

ORDER FOR PROHIBITION FOLLOWING FORFEITURE

WHEREAS on the   day of  at   at the hearing of the Application for Disposition made under subsection (1), it was ordered that the things of A.B. seized on the   day of   at   be forfeited to her Majesty or be otherwise disposed of;

NOW THEREFORE BE IT FURTHER ORDERED that A.B. be prohibited for a period of   years (not exceeding 5 years) from possessing any   (weapon, prohibited device ammunition, prohibited ammunition and explosive substance, or any such thing), beginning on the making of the order.*

Dated this   day of   A.D. , at  .

THIS COURT FURTHER DIRECTS THAT A COPY OF THIS ORDER BE SENT TO THE
CHIEF FIREARMS OFFICER

*NOTE: Where a justice does not make an order under subsection 117.05(4), or where a justice does make an order but does not prohibit the possession of all things referred to in that subsection, the justice shall include in the record a statement of the justice's reasons.