Trespass Notice

Trespassed Person Information

Last Name, First Name Date of Birth (YYYY-MM-DD)

Address (Number, Street, City, Province)

Telephone Number

Trespassed From Information

Last Name, First Name (Business Contact) Business Name

Business Address (Number, Street, City, Province)

Telephone Number

Details of Trespass Notice

This letter is to notify you, that in accordance with the provisions of the Trespass to Property Act, R.S.O. 1980, C.511, you are
hereby advised that you are not to enter upon the buildings or lands at,
_________________________________________________________________________________________________________
Woodstock, Ontario, from this date forward. Should you fail to abide by the terms set out in this Trespass Notice, your actions may
result in a charge being laid pursuant to the Trespass to Property Act resulting in a fine and/or your arrest. You are trespassed from
this address for the duration of:

☐ 6 months ☐ 1 year ☐ Indefinite

Date Served (YYYY-MM-DD) Served by (Last Name, First Name)

A Trespass Notice is enforceable only when the trespassed person has been notified (deemed served) and a copy has been
provided to the Woodstock Police Service. The Trespass Notice will be effective on the Date Served and be enforceable for the
duration indicated on this form. Please forward a copy of your Trespass Notice to the Woodstock Police Service via fax, email or
mail.

Fax:
519-421-2818
Email:
Contact the Records Unit
Mail:
Woodstock Police Service
615 Dundas Street
Woodstock, ON, N4S 1E1
Att: Records Department