REQUEST TO RESCHEDULE/POSTPONE AN EARLY RESOLUTION MEETING

ONTARIO COURT OF JUSTICE
PROVINCE OF ONTARIO

Pursuant to Section 5.1 (4) of the Provincial Offences Act

Required fields are marked with an asterisk (*).

First name

Last name

Telephone number

Mailing Address

Street Address ( including apartment number)

Municipality (town/city)

Province

Postal Code

Ticket Information

Ticket Number

Offence Date

If you want to change the date for more than one ticket, click the "Add Ticket" button below. Ticket numbers not listed will not be rescheduled.

Original Early Resolution Meeting Date

Original Court Date and Time

Courtroom

Receiving a New Date

You acknowledge that in order to qualify for a date change, you are submitting this request at least 2 business days before your original Early Resolution Meeting date.

You understand that you are only entitled to reschedule your meeting once.

In the box below, indicate your preferences in scheduling or desired dates you wish to have. You can indicate periods of time or multiple dates where you will not be available for your meeting.

Date

Signature of Defendant (Name)

POA 0859 (rev. 04/12) CSD

Personal information contained on this form is collected under section 17 of the Municipal Freedom of Information and Protection of Privacy Act, and will be used to respond to your request. Questions about this collection may be directed to the Freedom of Information and Privacy Coordinator for the City of Windsor, 350 City Hall Square West, Suite 530, Windsor, ON N9A 6S1 or 519 - 255 - 6100 Extension 6578.