Provincial Offences Act Forms Archive


WARNING: Forms maintained on this page are no longer to be used. Use only the current versions of the forms. To review the current version of these forms, visit the Forms Repository. If you do not have Microsoft Word installed on your computer, you can download the MS-Word 97/2000 Viewer. It will allow you to view the forms. You can download this free software from Microsoft's web site.
Provincial Offences Act Forms Archive
Form Number Form Title Version Date Effective Date HTML/PDF Form MS Word Form
1 Certificate of Offence March 17, 2011 POA-Form1-IBR.doc
2 Red Light Camera Certificate of Offence March 17, 2011 POA-Form2-IBR.doc
2 Red Light Camera Certificate of Offence March 15, 2014 July 1, 2014 to April 15, 2019 POA-0816-rev0314-web.doc
3 Offence Notice March 17, 2011 POA-Form3-IBR.doc
4 Offence Notice Nov. 2, 2011 March 31, 2012 to July 18, 2021 POA-0849-rev1111.doc
4 Offence Notice March 17, 2011 POA-Form4-IBR.doc
5 Red Light Camera System Offence Notice March 15, 2014 July 1, 2014 to April 15, 2019 POA-0818-rev0314-web.doc
5 Red Light Camera System Offence Notice March 17, 2011 POA-Form5-IBR.doc
6 Red Light Camera System Offence Notice Nov. 2, 2011 March 1, 2012 to April 15, 2019 POA-0850-rev1111.doc
6 Red Light Camera System Offence Notice Jan. 31, 2019 April 16, 2019 to July 18, 2021 poa-0850-rev0119-web.doc
6 Red Light Camera System Offence Notice March 17, 2011 POA-Form6-IBR.doc
6.1 Fail to Stop for a School Bus - Owner Liability - Offence Notice July 6, 2016 July 21, 2016 to July 18, 2021 poa-0864-rev0616-a.doc
6.2 Automated Speed Enforcement System Offence Notice Dec. 1, 2019 Jan. 14, 2020 to July 18, 2021 asepoa-0868-rev1219-web.doc
9 Notice of Trial March 17, 2011 POA-Form9-IBR.doc
10 Notice of Fine and Due Date March 17, 2011 POA-Form10-IBR.doc
10 Notice of Fine and Due Date Nov. 2, 2011 March 31, 2012 to Dec. 31, 2017 POA-0854-rev1111.doc
10.1 Notice of Fine and Due Date Jan. 19, 2018 April 11, 2018 to Nov. 18, 2019 poa-0854-nfdd-form-10-1-rev0218-web.doc
10.2 Notice of Fine and Due Date Jan. 19, 2018 April 11, 2018 to Nov. 18, 2019 poa-0854-nfdd-form-10-2-rev0218-web.doc
10.3 Notice of Fine and Due Date Jan. 19, 2018 April 11, 2018 to Nov. 18, 2019 poa-0854-nfdd-form-10-3-rev0218-web.doc
17 Notice of Fine and Due Date March 17, 2011 POA-Form17-IBR.doc