Durham Region - POA Disclosure Request Form

All fields with an * are required
Request Date: *
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Infraction Details
Defendant's Name: *
Ticket Number: *
2860 999 00
Date of Charge: *
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Charges:
Officer Details
Police Service:
Badge Number:
Division:
Collision: *
Court Details
Trial Date:
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Trial Time:
Hours: Minutes:
Room Number:
Person Requesting Disclosure
Name: *
Email: *
Telephone:
Mailing Address:
Fax:
Delivery Details

I would like to receive this disclosure in the following manner: *

 

The Regional Municipality of Durham
Provincial Offences Prosecution Services
605 Rossland Rd. E.,
Level 1, PO Box 740
Whitby, ON L1N 0B3
1-800-372-1102

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