Restraining Order Page 2
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1
2Court File Number
Form 25F: Restraining Order
(page 2)
In support of this order,
this court heard a
made by the
for a restraining order under
.
The
was made with notice to
.
The following persons were in court
(list names of parties and lawyers in court):
The court read the following materials filed in support of a request for this order:
The court heard submissions in support of a request for this order from:
Date of signature
Signature of judge or clerk of the court
Note: This order will be registered against the person being restrained on the Canadian Police Information Centre
(CPIC) Database. Disobeying this order is a criminal offence punishable by fine or imprisonment. Any police or peace
officer with jurisdiction over the place where the order was disobeyed may arrest the person being restrained without a
warrant in accordance with section 495 of the Criminal Code of Canada.
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FLR-25F-E (2009/09)
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