REOPENING APPLICATION/AFFIDAVIT (EARLY RESOLUTION)

ONTARIO COURT OF JUSTICE
PROVINCE OF ONTARIO

Under subsection 11(1) of the Provincial Offences Act

Form 102.1
Courts of Justice Act
R.R.O. 1990
Reg. 200

Required fields are marked with an asterisk (*).

I, First name

Last name

Street Address ( including apartment number)

Municipality (town/city)

Province

Postal Code

Phone number

make an application to strike out the conviction entered against me. In support I confirm and assert as follows:

1. I was convicted without a hearing of

Offence Description

File No.

Offence Date

Conviction Date

2. Through no fault of my own, (choose (a) or (b) and provide an explanation)

(a) I did not have the opportunity to (check the appropriate box):

dispute the charge at trial, or

attend an early resolution meeting

If you select option (a) above, explain or attach other evidence or information to be relied upon in support of your application

Attach other evidence, if needed Allowed extensions: pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png

(b) I did not receive delivery of a notice or document relating to the offence, namely (check the appropriate box):

Offence Notice

Early Resolution Meeting Notice

Notice of Trial

If you select option (b) above, explain or attach other evidence or information to be relied upon in support of your application

Attach other evidence, if needed Allowed extensions: pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png

3. The conviction first came to my attention on

Check the below box if it applies

4. I have made a previous application for reopening in relation to this matter.

Electronic Signature Acknowledgement

I am confirming that I am the defendant named in the reopening application and I am agreeing that my typed signature is the equivalent to my handwritten signature. I also acknowledge that by signing the affidavit, I am agreeing that all information contained herein is true and correct.

Signature of Defendant (Name)

Note: Section 86 of the Provincial Offences Act provides:
Every person who makes an assertion of fact in a statement or entry in a document or form for use under this Act knowing that the assertion is false is guilty of an offence and on conviction is liable to a fine of not more than $2,000.
Subsections 11 (2) and (3) authorize the clerk of the court or justice to strike out a conviction on affidavit of the defendant or on other evidence or information that through no fault of the defendant, the defendant was unable to participate in the proceeding.

The court may contact you regarding this application using the phone number or e-mail address provided.

POA 0876 (April 3, 2023) 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.