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RULES & FORMS FOR
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PROVINCIAL OFFENCE FORMS
(static PDFs & MS Word)

 

Naming Conventions

Except for the three forms which are part of the NEW Criminal Rules, the Provincial Court form files on this site have been named using the assigned form number and whether the form is in English or in French or both. There are basically three main things that distinguish the forms:

The prefix before the file number: There will be either an "e", and "f", an "ef" or an "fe" depending on the file.

"e" means that the form is only in English.
"f" means the form is only in French.
"ef" means that the English and French forms are on back-to-back pages (double sided).
"fe" means that the form is bilingual; the French and English text are on the same page. The French and English versions of forms that are longer than one page (one sheet), have been set up in separate files.

The form number: The form number in the filename is the form number that appears on the top of the document. For instance, form number 52/49 has the digits "-52-49-" in the filename. Form 4/6 is named with "-4-6-" so that it will not be confused with form 46, which is named with "-46-".

The form types: There are only two main types of forms available on this page. Both must be printed blank and then filled out manually.

To print a blank form and then fill it out manually, click on the "PDF" or the "Word" link to the left of the form number and name in the table below.

Criminal Court Forms

File Type
Form #
Form Name File Name Revision Date
PDF
Word
1/9 Appearance Notice Issued by a Peace Officer
(to a person not yet charged with an offence)
(Bilingual)
fe-1-9-NSY102-AppearanceNotice-Aug 2014
PDF
Word
2/6 Summons (to a Person charged with an offence)
(Bilingual)
fe-2-6-NSY106-Summons-Aug 2014
PDF
Word
3/2 Information (Sec. 810) e-3-2-Information-Aug 2014
PDF
Word
4/6 Summons (Sec. 810) e-4-6-Summons-Aug 2014
PDF
Word
5A Other Conditions of Section 810 Recognizance 5A-OtherConditionsSection810Recognizance-Aug 2014
PDF
Word
5/32 Recognizance (to Keep the Peace) (Peace Bond)
(Bilingual)
ef-5-32-RecogPeaceBond-Aug 2014
PDF
Word
6/23 Warrant (of Committal for Failure to Furnish Recognizance to Keep the Peace) (Bilingual) ef-6-23-WarrantFailureRecog-Aug 2014
PDF
Word
7/2 Information (Bilingual) fe-7-2-NSY101-Information-Aug 2014
PDF
Word
7A Notice of Hearing (To Compel Appearance
- Private Prosecution)
7A-NoticeOfHearingPrivateProsecution-Aug 2014
PDF
Word
9A/10 Promise to Appear (Bilingual) fe-9A-10-NSY103-PromiseToAppear-Aug 2014
PDF
Word
9B/11 Recognizance Entered Into Before An Officer
In Charge (Bilingual)
fe-9B-11-NSY105-RecogBeforeOfficer-Aug 2014
PDF
Word
9C/11.1 Undertaking Given to A Peace Officer
or an Officer in Charge (Bilingual)
9C-11.1-NSY104-UndertakingGivenPeaceOfficer-Aug 2014
PDF
Word
9D/12 Undertaking Given to a Justice or a Judge
(Bilingual)
fe-9D-12-NSY107-UndertakingToJudge-Aug 2014
PDF
Word
10/32 Recognizance (Court Appearance) (Bilingual) ef-10-32-NSY109-Recog-Aug 2014
PDF
Word
12 Affidavit of Justification e-12-AffidavitJustification-Aug 2014
PDF
Word
13 Order (Release of Bondsman)(Bilingual) ef-13-OrderReleaseBondsman-Aug 2014
PDF
Word
14/16 Subpoena (to a Witness)(Bilingual) fe-14-16-NSY147-SubpoenaToWitness-Aug 2014
PDF
Word
15/17 Warrant (for Witness)(Bilingual) ef-15-17-WarrantForWitness-Aug 2014
PDF
Word
16/07 Warrant of Arrest 16-07-NSY113-WarrantArrest-Aug 2014
PDF
Word
19 Order (to Transport a Prisoner to Court) 19-NSY121-Order-TransportPrisoner-Aug 2014
PDF
Word
19A Affidavit (to Transport a Prisoner) 19A-NSY122-Affidavit-TransportPrisoner-Aug 2014
PDF
Word
20 Order (for Release from Custody on Bail Application) (Bilingual) ef-20-OrderReleaseBail-Aug 2014
PDF
Word
21/8/19 Warrant (of Remand or Committal Pending Trial
or Hearing)
21-819-NSY114-WarrantPendingTrial-Aug 2014
PDF
Word
21A Warrant of Remand and Committal In a Hospital
Pending Trial(Bilingual)
fe-21A-WarrantRemandHospital-Aug 2014
PDF
Word
22 Order (for Discharge from Custody) (Bilingual) ef-22-OrderDischarge-Aug 2014
PDF
Word
24 Order (of Prohibition) (Secs. 111(6) & 114 CC) 24-OrderProhibition-Aug 2014
PDF
WP-M
WPD
25 Order (of Prohibition) (Secs. 109 & 114 CC) 25-OrderProhibition-Jan-02
PDF
Word
25.1 Order (of Prohibition) (Secs. 110 & 114 CC) 25.1-OrderProhibition-Aug 2014
PDF
Word
27 Order (of Prohibition to Operate a Motor Vehicle)
(Sec. 259) (Bilingual)
ef-27-NSY144-OrderProhibitMotorVehicle-Aug 2014
PDF
Word
28 Designation of Counsel 28-DesignationCounsel-Revised June 2017
PDF
Word
29 Order (Protection of Property Act) ef-29-OrderProtProperty-Aug 2014
PDF
Word
34/46 Probation Order 34-46-ProbationOrder-Aug 2014
PDF
Word
34/46A Addenda to Probation Order(Bilingual) ef-34-46A-AddendaProbationOrder-Aug 2014
PDF
Word
35/21 Warrant (of Committal upon Conviction or upon
Suspension or Termination of Conditional
Sentence) (Term of Imprisonment)
35-21-WarrantCommittal-Aug 2014
PDF
Word
37 Order (to Release Bail Monies) (Bilingual) ef-37-OrderReleaseBailMonies-Aug 2014
PDF
Word
41/35 Record of Conviction (Bilingual) ef-41-35-RecordConviction-Aug 2014
PDF
Word
43/37 Order (of Acquittal or Dismissal) 43-37-OrderAcquittal-Aug 2014
PDF
Word
44 Transmission of Records for Trial or Appeal ef-44-TransRecordsTrial-Appeal-Aug 2014
PDF
Word
45/30 Order (for accused to be brought before Justice
prior to expiration of period of remand) (Bilingual)
ef-45-30-OrderAccusedJustice-Aug 2014
PDF
Word
46 Warrant (of Committal - Intermittent Sentence) (Bilingual) ef-46-WarrantCommittalIntermittent-Aug 2014
PDF
Word
47/1 Information to Obtain a Search Warrant 47-1-InfoSearchWarrant-Aug 2014
PDF
WP-M
WPD
47.1 Information to Obtain a Warrant to Enter Dwelling
House to Arrest a Person
47.1-InfoWarrantDwelling-Nov-02
PDF
Word
48.1/7.1 Warrant to Enter a Dwelling-House 48.1-7.1-WarrantDwellingFeeney-Aug 2014
PDF
Word
48/5 Warrant to Search 48-5-WarrantToSearch-Aug 2014
PDF
Word
50.1 Order of Initial Detention/Further
Detention/Disposition
50.1-OrderDentention-Aug 2014
PDF
Word
50/5.2 Initial Report to a Judge or a Justice 50-5.2-InitialReportJudge-Aug 2014
PDF
Word
51/48 Assessment Order ef-51-48-NSY119-AssessmentOrder-Aug 2014
PDF
Word
52/49 Warrant of Committal (to a Hospital) (Bilingual) ef-52-49-NSY120-WarrantHospital-Aug 2014
PDF
Word
53 Treatment Order (Fitness to Stand Trial)
(Bilingual)
ef-53-TreatmentOrder-Aug 2014
PDF
Word
54 Disposition (Not criminally responsible or unfit
to stand trial) (Bilingual)
ef-54-Disposition-Apr-02
PDF
Word
54A Notice to Review Board (not criminally responsible
on account of mental disorder or unfit to
stand trial)

ef-54A-NSY117-NoticeReviewBd-Aug 2014

PDF
Word
54B Warrant of Committal (Detention Order) ef-54B-NSY118-WarrantCommital-Aug 2014
PDF
Word
55 Restitution Order(Bilingual) ef-55-RestitutionOrder-Aug 2014
PDF
Word
56 Conditional Sentence Order (Bilingual) ef-56-CondSentenceOrder-Aug 2014
PDF
Word
56.1a Notification by Supervisor of Proposed Changes
to Optional Conditions
e-56.1a-NotificationChangesOptionalCon-Aug 2014
PDF
Word
56.1b Notification by Prosecutor or Offender (of
Proposed Changes to Optional Conditions)
e-56.1b-NotificationByProsecutor- Aug 2014
PDF
Word
56.2 Order (Changes to Optional Conditional
Sentence Conditions)
56.2-OrderChanges-Aug 2014
PDF
Word
56.3 Allegation of Breach of Conditional Sentence
Order
e-56.3-AllegationBreach-Aug 2014
PDF
Word
56.4 Order (Breach of Conditional Sentence) 56.4-Order-BreachConditionalSentence-Aug 2014
PDF
Word
57 Fine Order 57-FineOrder-Aug 2014
PDF
Word
58/1 Information to Obtain a Warrant for Blood Samples e-58-1-InformationBlood-Aug 2014
PDF
Word
58.1/5 Warrant to Obtain Blood Samples e-58.1-5-WarrantBlood-Aug 2014
PDF
Word
59 Application by Peace Officer for Warrant to
Search and Seize (Weapons, etc.)(Sec. 117.04)
59-ApplicationByPeaceOfficerToSearchSeize-Aug 2014
PDF
Word
59.1 Warrant to Search and Seize (Weapons, etc.)
(Sec. 117.04)
59.1-WarrantToSearchSeize-Aug 2014
PDF
Word
59.2 Report to Justice and Application for Disposition
of Articles seized with a Warrant and Application
for Prohibition (Sec. 117.04)
59.2-ReportJustice-AppDispositionArticlesSeized-Aug 14
PDF
Word
60/5.03/
5.04
Order (Taking of Bodily Substances for DNA
Analysis)
60-5.035.04-NSY145-Order-BodilySubstancesForDNA- Aug 2014