C-25.1, r. 2 - Regulation respecting the form of offence reports

Schedule Disposition versions

2021-04-29

SCHEDULE III

(s. 16, 2nd par.)

ABRIDGED OFFENCE REPORT FOR STATEMENT OF OFFENCE No.

O.C. 1210-97, Sch. III; O.C. 519-2021, s. 5.

2012-09-01

SCHEDULE III

(s. 16, 2nd par.)

ABRIDGED OFFENCE REPORT FOR STATEMENT OF OFFENCE No.

ABRIDGED OFFENCE REPORT FOR STATEMENT OF OFFENCE No.
(Indicate the origin of the report in this space)
Event code
Record No.

A Identification of defendant

B Vehicle
V.R.N.
Number of occupants
Colour of vehicle

C Lighting
Day
1   c Daylight
2   c Semi-darkness
Night
3   c Lighted highway
4   c Unlighted highway

Weather
5   c Clear
6   c Cloudy
7   c Fog
8   c Rain
9   c Sleet
10 c Snow

Zone
11 c School
12 c Residential
13 c Commercial
14 c industrial
15 c Rural
16 c Park

Roadway
Type
17 c Concrete
18 c Asphalt
19 c Gravel
20 c Dirt

Condition
21 c Dry
22 c Wet
23 c Snow
24 c Ice
25 c Mud
26 c Construction

Configuration
70 c Flat/straight
71 c Flat/curve
72 c Downhill/straight
73 c Downhill/curve
74 c Uphill/straight
75 c Uphill/curve

Presence of road
27 c None
28 c Veh. same direction
29 c Veh. app. direction
30 c Veh. inters. road
31 c Pedestrian(s)
32 c Worker(s)
33 c Cyclist(s)

Type of vehicle
41 c Automobile
42 c Light truck
43 c Truck
44 c Truck tractor
45 c Vehicle transporting hazardous materials
46 c Specialized mobile equipment
47 c Specialized vehicle
48 c Bus
49 c School bus
50 c Minibus
51 c Taxi
52 c Emergency veh.
53 c Motocycle
54 c Moped
55 c Recreational veh.
56 c Snowmobile
57 c Bicycle
99 c Other

D Radar
Speed recorded km/h
Speed zone km/h
Radar device		c moving		c stationary
Make		Model		Series

1st radar check
c Electronic		c Tuning fork
	time	time		km/h	km/h
2nd radar check
c Electronic		c Tuning fork
	time	time		km/h	km/h

c In proper working order
c Other vehicles present in radar beam
Distance at which the radar device clocked vehicle speed
c Certified operator
c No source of interference with operation
c Visual estimate				metres

E Relevant facts, details or particulars
					c Continued on another page

F Relevant facts, details or particulars
					c Continued on another page

Attestation of the facts
I have personally observed the facts mentioned in

Name
1- Peace officer c
2- Other 		Quality
Officer’s No. 		Unit		Date (Y-M-D)
Validation code
I have personally observed the facts mentioned in
Name
1- Peace officer c
2- Other 		Quality
Officer’s No. 		Unit		Date (Y-M-D)
Validation code

Attestation of hard-copy conversion
I attest that this document is true to its duplicate in electronic form.
Authorized person
Surname
Given name
Quality
Date (Y-M-D)			Time (H-M-S)
Validation code

(Reference)

O.C. 1210-97, Sch. III.