Government of Ontario: Ministry of Community Safety and Correctional Services

Termination of a Part II or Part III Appointment

Interprovincial Policing Act, 2009

I, , an appointing official designated pursuant
to section 34 of the Interprovincial Policing Act, 2009, hereby terminate the appointment as a police officer in Ontario under
the Interprovincial Policing Act, 2009 of of the
This termination is effective the later of , and the date that the appointee receives a copy of this form.

The appointee’s appointment is terminated for the reason that:








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