Criminal Code

Canada,

Province of ,

(territorial division).

To the peace officers in the said (territorial division) and to the keeper of the (prison) at :

Whereas E.F. of , hereinafter called the defaulter, was on the day of A.D. , at , convicted before for contempt in that he did not attend before to give evidence on the trial of a charge that (state offence as in the information) against A.B. of , although (duly subpoenaed or bound by recognizance to appear and give evidence in that behalf, as the case may be) and did not show any sufficient excuse for his default;

And Whereas in and by the said conviction it was adjudged that the defaulter (set out punishment adjudged);

And Whereas the defaulter has not paid the amounts adjudged to be paid; (delete if not applicable)

This is therefore to command you, in Her Majesty’s name, to arrest, if necessary, and take the defaulter and convey him safely to the prison at and there deliver him to the keeper thereof, together with the following precept:

I do hereby command you, the said keeper, to receive the defaulter into your custody in the said prison and imprison him thereFootnote ^* and for so doing this is a sufficient warrant.

• Return to footnote ^*Insert whichever of the following is applicable:

• (a) for the term of ;

• (b) for the term of unless the said sums and the costs and charges of the committal and of conveying the defaulter to the said prison are sooner paid;

• (c) for the term of and for the term of (if consecutive so state) unless the said sums and the costs and charges of the committal and of conveying the defaulter to the said prison are sooner paid.

Dated this day of A.D. , at .

A Justice or Clerk of the Court

(Seal, if required)