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.
WARNING: Any forms shaded in grey in the table below have not yet come into force. Do not use them prior to their effective date, which is listed in the table below. Until the effective date, only use the current version of the form, which appears unshaded in the table below.
| Form Number | Form Title | Version Date | Effective Date | HTML/PDF Form | MS Word Form |
|---|---|---|---|---|---|
| 1 | Certificate of Offence | May 10, 2021 | Nov. 1, 2021 | poa-0847-rev0521-web.pdf | poa-0847-rev0521-web.doc |
| 2 | Red Light Camera Certificate of Offence | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0816-rev0521-web.doc |
| 2.1 | Fail to Stop for a School Bus - Owner Liability - Certificate of Offence | Nov. 15, 2022 | May 25, 2023 |
NA |
form_2.1_poa-0862-rev1122-web.docx |
| 2.2 | Automated Speed Enforcement System Certificate of Offence | May 10, 2021 | Nov. 1, 2021 |
NA |
asepoa-0866-rev0521-web.doc |
| 2.3 | Fail to Stop for a School Bus (Arm Activated) - Owner Liability - Certificate of Offence (Camera Enforcement) | Nov. 15, 2022 | May 25, 2023 |
NA |
form_2.3_poa-0873-rev1122-web.docx |
| 3 | Offence Notice | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0848-rev0521-web.doc |
| 4 | Offence Notice | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0849-rev0521-web.doc |
| 5 | Red Light Camera System Offence Notice | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0818-rev0521-web.doc |
| 5.1 | Fail to Stop for a School Bus - Owner Liability - Offence Notice | Nov. 15, 2022 | May 25, 2023 |
NA |
form_5.1_poa-0863-rev1122-web.docx |
| 5.2 | Automated Speed Enforcement System Offence Notice | May 10, 2021 | Nov. 1, 2021 |
NA |
asepoa-0867-rev0521-web.doc |
| 5.3 | Fail to Stop for a School Bus (Arm Activated) - Owner Liability - Offence Notice (Camera Enforcement) | Nov. 15, 2022 | May 25, 2023 |
NA |
form_5.3_poa-0874-rev1122-web.docx |
| 6 | Red Light Camera System Offence Notice | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0850-rev0521-web.doc |
| 6.1 | Fail to Stop for a School Bus - Owner Liability - Offence Notice (Meet with a Prosecutor) | Nov. 15, 2022 | May 25, 2023 |
NA |
form_6.1_poa-0864-rev1122-web.docx |
| 6.2 | Automated Speed Enforcement System Offence Notice | May 10, 2021 | Nov. 1, 2021 |
NA |
asepoa-0868-rev0521-web.doc |
| 6.3 | Fail to Stop for a School Bus (Arm Activated) – Owner Liability – Offence Notice (Meet With Prosecutor – Camera Enforcement) | Nov. 15, 2022 | May 25, 2023 |
NA |
form_6.3_poa-0875-rev1122-web.docx |
| 7 | Summons | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0861-rev0521-web.doc |
| 7.1 | Early Resolution Meeting Notice (in person) | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0851-rev0521-web.doc |
| 7.2 | Early Resolution Meeting Notice (by electronic method) | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0852-rev0521-web.doc |
| 7.3 | Early Resolution Outcome | Nov. 2, 2011 | March 31, 2012 |
NA |
POA-Form7-3-IBR-rev1111.doc |
| 8 | Notice of Intention to Appear | March 15, 2014 | July 1, 2014 |
NA |
POA-0813-rev0314-web.doc |
| 9 | Notice of Trial | May 10, 2021 | Nov. 1, 2021 |
NA |
poa-0814-rev0521-web.doc |
| 10 | Notice of Fine and Due Date | Aug. 3, 2021 | Nov. 1, 2021 |
NA |
poa-0854-nfdd-rev0821-web.doc |
| 10.1 | Municipal By-Law Parking Infraction - Notice of Fine | Aug. 3, 2021 | Nov. 1, 2021 |
NA |
poa-0854a-nfdd-rev0821-fil-web.doc |
| 11 | Certificate of Parking Infraction | March 17, 2011 | March 31, 2012 | poa-0855-rev0311-web.pdf | POA-0855-rev0311.doc |
| 12 | Parking Infraction Notice | March 15, 2014 | July 1, 2014 | poa-0856-rev0314-web.pdf | POA-0856-rev0314-web.doc |
| 13 | Parking Infraction Notice | March 17, 2011 | March 31, 2012 | poa-0857-rev0311-web.pdf | POA-0857-rev0311.doc |
| 14 | Notice of Impending Conviction | March 15, 2014 | July 1, 2014 | poa-0858-rev0314-web.pdf | POA-0858-rev0314-web.doc |
| 15 | Notice of Impending Conviction | March 17, 2011 | March 31, 2012 | poa-0812-rev0311-web.pdf | POA-0812-rev0311.doc |
| 16 | Certificate Requesting Conviction | March 17, 2011 | March 31, 2012 | poa-0803-rev0311-web.pdf | poa-0803-rev0311-web.doc |