Provincial Offences Act forms


The forms located in the table below are for informational purposes only. They cannot be filled in electronically, and you should not bring them to court.


Provincial Offences Act forms
Form Number Form Title Version Date Effective Date HTML/PDF Form MS Word Form
1 Certificate of Offence Nov. 2, 2011 March 31, 2012 POA-0847-rev1111.doc
2 Red Light Camera Certificate of Offence March 15, 2014 July 1, 2014 POA-0816-rev0314-web.doc
2.1 Fail to Stop for a School Bus - Owner Liability - Certificate of Offence July 6, 2016 July 21, 2016 poa-0862-rev0616-a.doc
3 Offence Notice March 15, 2014 July 1, 2014 POA-0848-rev0314-web.doc
4 Offence Notice Nov. 2, 2011 March 31, 2012 POA-0849-rev1111.doc
5 Red Light Camera System Offence Notice March 15, 2014 July 1, 2014 POA-0818-rev0314-web.doc
5.1 Fail to Stop for a School Bus - Owner Liability - Offence Notice July 6, 2016 July 21, 2016 poa-0863-rev0616-a.doc
6 Red Light Camera System Offence Notice Nov. 2, 2011 March 31, 2012 POA-0850-rev1111.doc
6.1 Fail to Stop for a School Bus - Owner Liability - Offence Notice July 6, 2016 July 21, 2016 poa-0864-rev0616-a.doc
7 Summons March 17, 2011 March 31, 2012 POA-0861-rev0311.doc
7.1 Early Resolution Meeting Notice (in person) March 17, 2011 March 31, 2012 POA-Form7-1-IBR-rev1111.doc
7.2 Early Resolution Meeting Notice (by electronic method) March 17, 2011 March 31, 2012 poa-form7-2-ibr_rev1111.doc
7.3 Early Resolution Outcome March 17, 2011 March 31, 2012 POA-Form7-3-IBR-rev1111.doc
8 Notice of Intention to Appear March 15, 2014 July 1, 2014 POA-0813-rev0314-web.doc
9 Notice of Trial March 15, 2014 July 1, 2014 POA-0814-rev0314-web.doc
10 Notice of Fine and Due Date Nov. 2, 2011 March 31, 2012 POA-0854-rev1111.doc
11 Certificate of Parking Infraction March 17, 2011 March 31, 2012 POA-0855-rev0311.doc
12 Parking Infraction Notice March 15, 2014 July 1, 2014 POA-0856-rev0314-web.doc
13 Parking Infraction Notice March 17, 2011 March 31, 2012 POA-0857-rev0311.doc
14 Notice of Impending Conviction March 15, 2014 July 1, 2014 POA-0858-rev0314-web.doc
15 Notice of Impending Conviction March 17, 2011 March 31, 2012 POA-0812-rev0311.doc
16 Certificate Requesting Conviction March 17, 2011 March 31, 2012 POA-0803-rev0311.doc