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PROVINCIAL OFFENCE FORMS
(static PDFs & MS Word)

 

Naming Conventions

The Provincial Court form files on this page have been named using the assigned form number and whether the form is in English or in French or both. There are two 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-".

PLEASE NOTE: The Courts are in the process of creating interactive PDF forms for the new court forms related to Bill C75. Some are ready now and posted here. Others will be posted as they are completed. Forms unrelated to Bill C75 are in static Word and PDF format, which means they must be printed and filled out manually.

 

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 7/2
Information (Bilingual) fe_Information_NSY_Form_101_June_2020

PDF

7/2
Information - Appendix A (Bilingual) fe_Information__Appendix_A_June_2020
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
6
(C75)
Summons Charged with Offence e_6_Summons_Charged_with_Offence_Aug_2020
PDF   Affidavit of Service (English NSPC_Affidavit_of_Service_Aug_2020
PDF   Affidavit of Service (French) NSPC_Affidavit_of_Service_FRE_Aug_2020
PDF
Word
5A Other Conditions of Section 810 Recognizance 5A-OtherConditionsSection810Recognizance-Aug 2014
PDF
Word
5.03 (C75) Order Authorizing the Taking of Bodily Substances for Forensic DNA Analysis (Sec. 487.051(1) and (2)) e_5.03_Order_Bodily_Substances_for_DNA_Jan_2020
PDF
Word
5.04 (C75) Order Authorizing the Taking of Bodily Substances for Forensic DNA Analysis (Sec. 487.051(3)) e_5.04_Order_Bodily_Substances_for_DNA_Jan_2020
PDF
Word
5.041 (C75) Order to a Person to Have Bodily Substances Taken for Forensic DNA Analysis (Sec. 487.051(4) and 487.055(3.11)) e_5.041_Order_Bodily_Substances_for_DNA_Jan_2020
PDF
Word
5.061 (C75) Summons to a Person to Have Bodily Substances Taken for Forensic DNA Analysis (Sec. 487.055(4) and 487.09(3)) e_5.061_Summons_Bodily_Substances_for_DNA_Analysis_Jan_2020
PDF
Word
5/32 Recognizance (to Keep the Peace) (Peace Bond)
(Bilingual)
ef-5-32-RecogPeaceBond-Aug 2014
PDF
Word
6
(C75)
Summons Charged with Offence e_6_Summons_Charged_with_Offence_Jan_2020
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
(C75)
Warrant for Arrest e_7_Warrant_for_Arrest_Jan_2020
PDF
Word
7A Notice of Hearing (To Compel Appearance
- Private Prosecution)
7A-NoticeOfHearingPrivateProsecution-Aug 2014
PDF
Word
8
(C75)
Warrant for Committal e_8_Warrant_for_Committal_Jan_2020
PDF
Word
9
(C75)
Appearance Notice (Bilingual)  fe_9_Appearance_Notice_Jan_2020
PDF 10 (C75) Undertaking (enforcement officers) e_10_Undertaking_enforcement_officers_Jan_2020
PDF Word 11 (C75) Release Order e_11_Release_Order_Jan_2020
PDF
Word
12 (C75) Surety Declaration e_12_Surety_Declaration_Jan_2020
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 (C75) Warrant to Convey Accused Before Justice of Another Division e_15_Warrant_Convey_Accused_Before_Justice_of_Another_
Division_Jan_2020
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
19 (C75) Warrant Remanding Prisoner e_19_Warrant_Remanding_Prisoner_Nov_2019
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
20 (C75) Warrant of Committal of Witness for Refusing to Be Sworn or to Give Evidence e_20_Warrant_of_Committal_Witness_Refusing_to_be_Sworn_Jan_2020
PDF
Word
21A Warrant of Remand and Committal In a Hospital Pending Trial (Bilingual) fe-21A-WarrantRemandHospital-Aug 2014
PDF
Word
22 (C75) Warrant of Committal on an Order for the Payment of Money e_22_Warrant_of_Committal_Payment_of_Money_Jan_2020
PDF
Word
22 Order (for Discharge from Custody) (Bilingual) ef-22-OrderDischarge-Aug 2014
PDF Word 24
(C75)
Warrant of Committal of Witness for Failure to Enter into Recognizance e_24_Warrant_of_Committal_Failure_to_Enter_Recognizance_Jan_2020
PDF
Word
24 Order (of Prohibition) (Secs. 111(6) & 114 CC) 24-OrderProhibition-Aug 2014
PDF Word 25
(C75)
Warrant of Committal for Contempt e_25_Warrant_for_Committal_of_Contempt_Jan_2020
PDF
Word
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 (C75) Warrant of Committal on Forfeiture Amounts e_27_Warrant_of_Committal_on_Forfeiture_Amounts_Dec_019
PDF
Word
27 (C75) Order of Prohibition to Operate a Motor Vehicle (Bilingual) ef_27_NSY144_Order_Prohibit_Motor_Vehicle_Dec_2019
PDF
Word
27A (C75) Order of Prohibition to Operate a Vessel, Aircrat, Railway e_27A_NSY144_Order_Prohibit_Vessel_Aircraft_Railway_Jan_2020
PDF
Word
28 Designation of Counsel 28-DesignationCounsel-Revised November 2017
PDF
Word
29 Order (Protection of Property Act) ef-29-OrderProtProperty-Aug 2014
PDF
Word
30 (C75) Order for Accused to be brought before Justice Prior to Expiration of Period of Remand e_30_Order_Brought_Before_Justice_Prior_to_Expiration_of_
Remand_Jan_2020
PDF Word 32
(C75)
Recognizance e_32_Recognizance_Jan_2020
PDF
Word
33
(C75)
Certificate of Default to be Endorsed e_33_Certificate_of_Default_to_be_Endorsed_Jan_2020
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
38 (C75) Conviction for Contempt e_38_Conviction_for_Contempt_Nov_2019
PDF
Word
39 (C75) Order for Discharge of Person in Custody e_39_Order_Discharge_Person_in_Custody_Nov_2019
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
Word
47.1 Information to Obtain a Warrant to Enter Dwelling House to Arrest a Person 47.1-InfoWarrantDwelling-Nov-02
PDF
Word
48 (C75) Assessment Order of the Court e_48_Assessment_Order_of_the_Court_Jan_2020
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
49 (C75) Warrant of Committal Disposition of Detention e_49_Warrant_of_Committal_Disposition_of_Detention_Nov_2019
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 Order to Comply (Sex Offender Information Registration Act) 52-SOIRA-Order-17-10
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