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Warrant To Apprehend Child

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ONTARIO

Court file number

(Name of Court)

Form 33A: Warrant to

Court office address

Apprehend Child

TO ALL CHILD PROTECTION WORKERS AND PEACE OFFICERS IN THE PROVINCE OF ONTARIO:

On the basis of an information sworn before me under Part III of the Child and Family Services Act respecting the child

named or described at the bottom of this warrant, I am satisfied that there are reasonable and probable grounds to

believe:

(a) that the child is in need of protection; and

(b) that a course of action less restrictive than the child’s removal to a place of safety is not available or will not

adequately protect the child.

Check box below only if the child’s whereabouts are known. Otherwise, strike out the paragraph below and initial the deletion.

I am further satisfied, on the basis of that information, that the child may now be found at (Give full municipal

address or a precise description of the premises where the child may be located.)

I THEREFORE AUTHORIZE YOU TO BRING THIS CHILD to a “place of safety” within the meaning of the Child

and Family Services Act.

This warrant expires at

a.m./p.m.

on (date)

Signature of justice of the peace

Date of signature

Print or type name of justice of the peace

Municipality where this warrant was signed

NOTE: Any changes, alterations or corrections to this form must be initialled by the justice of the peace. It is a criminal offence

for any other person to change the wording of this warrant after it has been signed by the justice of the peace.

DESCRIPTION:

Insert all available information

Full legal name of child to be apprehended

Birth date (d,m,y)

Sex

Aliases or nicknames

Residential address

Telephone number

Present whereabouts of child

Telephone number

Height

Weight

Hair colour

Eye Color

Hair style

Complexion

Other features

Name & address of person to be contacted for further information

Telephone number

FLR-33A-E (2005/09)

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Warrant To Apprehend Child

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