Notifying Agency or Police Department Street Number Street Name Unit/Suite City/Town Province Postal Code Name of Issuer Rank/Position Badge Number
Last Name First Name Middle Name(s) Date of Birth (YYYY/MM/DD)
Street Number Street Name Unit/Suite City/Town Province Postal Code
PERSONS CHARGED WITH A SEX OFFENCE TAKE NOTICE THAT:
As a person who is currently charged with a sex offence(s) as defined in Christopher’s Law (Sex Offender Registry), 2000, as amended, and who is resident in Ontario, you will, if convicted or found not criminally responsible on account of mental disorder for a sex offence(s), be required to report to the police service where you reside as required by the Act.
OR
PERSONS CONVICTED OF OR FOUND NOT CRIMINALLY RESPONSIBLE ON ACCOUNT OF MENTAL DISORDER FOR A SEX OFFENCE TAKE NOTICE THAT :
(1) As a person who has been convicted of a sex offence(s) as defined in Christopher’s Law (Sex Offender Registry), 2000, as amended, and who is resident in Ontario, you are required under the Act to report to the police service where you reside no later than 7 days after:
(2) As a person who has been found not criminally responsible on account of mental disorder for a sex offence(s) as defined in Christopher’s Law (Sex Offender Registry), 2000, as amended, and who is resident in Ontario, you are required under the Act to report to the police service where you reside no later than 7 days after:
(3) As a person made subject to an order in Form 52 under section 490.012 on or after December 5, 2008, for an offence referred to in paragraph (b) or (f) of the definition of “designated offence” in subsection 490.011(1) of the Criminal Code (Canada) and who is resident in Ontario, you are required under Christopher’s Law (Sex Offender Registry), 2000, as amended, to report to the police service where you reside no later than 7 days after:
(4) As a person who became subject to an obligation under section 490.02901 of the Criminal Code (Canada) (Form 54) to comply with the Sex Offender Information Registration Act (Canada) on or after June 20, 2011, and who is resident in Ontario, you are required under Christopher’s Law (Sex Offender Registry), 2000 as amended, to report to the police service where you reside no later than 7 days after:
(5) As a person who became subject to an obligation under section 36.1 of the International Transfer of Offenders Act (Canada) (Form 1) to comply with the Sex Offender Information Registration Act (Canada) on or after June 20, 2011, and who is resident in Ontario, you are required under Christopher’s Law (Sex Offender Registry), 2000, as amended, to report to the police service where you reside no later than 7 days after:
SUBSEQUENT REPORTING OBLIGATIONS For the duration of your reporting period you are required by Christopher’s Law (Sex Offender Registry), 2000, as amended, to report to the police service where you reside no later than 7 days:
AND annually, on a day that is not later than one year after, and not earlier than 11 months after your previous reporting date.
OFFENCE TO FAIL TO COMPLY
Under Christopher’s Law (Sex Offender Registry), 2000, as amended, any person who fails to comply with the reporting requirements of the Act is guilty of an offence and upon conviction is liable of a fine up to $25,000 or imprisonment for a term of not more than one year, or both, and up to two years less a day for a subsequent offence.
SERVED at , the County, Municipality, etc.of this day of , in the year at am/pm.
I , acknowledge that this notification has been read by me, or read to me, and I fully understand the information contained within it.
Signature of Recipient Signature of Issuer
I (Name) , of (Serving Agency) Make Oath and say that on the day of , in the year , I did personally serve this Notification of Duty to Register upon: (Recipient)
Signature and (if applicable) Badge Number of Issuer this day of , in the year .
A Justice of the Peace in and for the Province of Ontario/ A Commissioner for Taking Affidavits Commissioner PLACE STAMP HERE
Note: Investigating Agency forward original completed form to Ontario Sex Offender Registry, 777 Memorial Avenue, Orillia ON L3V 7V3
If you have any questions in relation to the Ontario Sex Offender Registry, please contact your local police service.