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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 JUSTICE FOR THE ISSUANCE OF A
WARRANT AUTHORIZING THE SEARCH
FOR AND SEIZURE OF FIREARMS,
WEAPONS, AMMUNITION, EXPLOSIVE
SUBSTANCES ETC. IN THE POSSESSION,
CUSTODY OR CONTROL OF A PERSON
PURSUANT TO SECTION 117.04 OF THE
CRIMINAL CODE.
TAKE NOTICE THAT application is hereby made for the issuance, on public safety grounds, of a warrant pursuant to Subsection 117.04 of the Criminal Code authorizing the search for and any seizure of any weapon, prohibited device, ammunition, prohibited ammunition or explosive substance and any authorization, licence or registration certificate relating to any such thing that is held in the possession of .
AND FURTHER TAKE NOTICE THAT upon and in support of the said application will be
read the affidavit(s) of .
DATED at , this day of , 20 .
TO: (Court)
OR
A JUSTICE OF THE PEACE