POA Forms

In order to expedite the administrative process, the Windsor/Essex County Provincial Offences (POA) Office has made some forms available online. Please print out the form, complete the appropriate sections, and bring it to our court office for processing.

Appeals

• Transcript Request Form
• Application for Extension of Time to Appeal (POA 0206)
• Application to File Appeal without paying the Fine (POA 0226)​
• Application to Waive Compliance Pending Appeal
• Notice of Appeal - Part 1 & 2 (POA0201)
• Notice of Appeal - Part 3 (POA0301)

For more information on appeals, click on the Ministry's link to it's Guide to Appeals in Provincial Offences Cases.

Re-openings

• Certificate of Striking out Conviction (Form 103) (POA 0827)
• Record of Reopening Application (Form 4) (POA 0819a)
• Affidavit in Support of a Request for Re-Opening (Form102) (POA0806CSD)
• Notice of Intention to Appear (POA 0813)​

Extensions

• Motion for Extension of Time to Pay Fine (Form 125) (POA 0809)

General Forms

• Affidavit General Form (POA 0006)
• Notice of Intention to Appear (POA 0813)
• Notice of Motion (POA 0007)
• Mail in Payment Form
• Early Resolution Request Form
• Request for Copies Form
• Request for Postponement of Early Resolution Meeting
• Disclosure Request Form