APPLICATION FOR ORDER OF DISPOSITION

Form 11A

Pursuant to Subsection 12.1 (6) of the Ontario Society for the Prevention of Cruelty to Animals Act, R.S.O. 1990, Chapter O.36

ONTARIO COURT OF JUSTICE
PROVINCE OF ONTARIO


This is the application of


an inspector or angent of the Ontario Society for the Prevention of Cruelty to Animals:

, I


   
   
   
   

and/or


   
   

As a result, I seized the item, thing, sample or carcass outlined in the accompanying Report to a Judge or Justice of the Peace, as authorized by subsections 12.1 (1), 12.1 (2), and 12.1 (4) of the Ontario Society for the Prevention of Cruelty to Animals Act.


   
   
   

as authorized by subsections 12.1 (6) and 12.1 (7) of the Ontario Society for the Prevention of Cruelty to Animals Act