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Information For Warrant To Apprehend Child

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ONTARIO

Court file number

(Name of Court)

Form 33: Information

for Warrant to

Court office address

Apprehend Child

My name is

(full legal name)

I live in

(municipality & province)

and I swear/affirm that the following is true:

1. I am

a child protection worker employed by

(full legal name of children’s aid society)

(Give occupation or title.)

a peace officer in the province of Ontario, employed in

(name of office out of which you work)

2. I have reasonable and probable grounds to believe and do believe that

(child’s full legal name)

is a child in need of protection for the following reasons:

(Set out grounds for belief.)

3. I have reasonable and probable grounds to believe and do believe 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, for the following reasons:

(Set out grounds for belief.)

Strike out paragraph 4 if not applicable.

I have reasonable and probable grounds to believe that the child may be found at

(Give full municipal address or a

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

Put a line through any blank space left on this page.

Sworn/Affirmed before me at

municipality

province, state or country

Signature

(This form is to be signed in front of a

date

Commissioner for taking affidavits

lawyer, justice of the peace, notary public

(Type or print name below if signature is illegible.)

or commissioner for taking affidavits.)

Print Form

Clear Form

FLR-33-E (2005/09)

Save Form

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Information For Warrant To Apprehend Child

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