Required fields are marked with asterisks (*)

Provincial Offences Court Copy Order Form

Offence Information

Date Ordered

Defendant's Full Name or Company Name

Ticket Number

Offence Details

Reason for Request

The prescribed fee under the Administration of Justice Act - Ontario Reg 210/07 is $3.50 per page for copies of documents requiring certification and $1.00 per page for copies not requiring certification.

Number of Copies Required

Would You Like the Copies Certified?

Yes

Copy is required by:

How would you like your copy delivered?

In person pick up

Electronically (email)

Regular Mail

Please note: If you would like your copy certified, it cannot be delievered electronically and must be mailed or picked up in person.

Further Instructions

Ordering Party Information

First and Last Name of Ordering Party

Address

Telephone Number

E-mail Address

I acknowledge that the prescribed fee under the Administration of Justice Act - Ontario Reg 210/07 is $3.50 per page for copies of documents requiring certification and $1.00 per page for copies not requiring certification. I undertake to pay the Regional Municipality of Durham for the total costs. A minimum of 7 business days is required for processing. You will be notified when your copies are ready for pick up.

Acknowledgement

I have read the above paragraph and acknowledge its contents.

Personal information provided to the Regional Municipality of Durham is only used for the purposes of processing your request. The information collected is subject to and handled in accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and the Provincial Offences Act. Questions about this collection may be directed to the Access and Privacy Office by email at foi@durham.ca; by mail at 605 Rossland Road East, Whitby, ON, L1N 6A3; or by telephone at 905-668-7711, extension 2204 (for FOI information only - not for court related inquires). If you require assistance with this form, please contact the court office at 905-668-3130 or toll-free at 1-866-779-8839.