Canada N.S. Form 202 T
Province of Nova Scotia Revised 08/14
Information to Obtain a Search Warrant (TELEWARRANT)
(Sections 2B(1),(4,)(6A),(7))
Summary Proceedings Act
This is the information of ______, peace officer (the
informant) of ______, Nova Scotia.
The informant says that he/she has reasonable grounds to believe and does believe that there is in
______,
(a building, receptacle or place)
the following thing(s):
which is/are (check as applicable):
anything on or in respect of which an offence against a Nova Scotia enactment has been or is suspected to have been committed; or
anything that there are reasonable grounds to believe will afford evidence with respect to the commission of an offence against a Nova Scotia enactment;
relevant to the investigation of the following offence against a Nova Scotia enactment has been or is suspected to have been committed:
My grounds for the belief that the alleged Nova Scotia offence has been committed or is suspected to have been committed, that the listed items (things) will be found in this location (building, receptacle or place), and that the items relate to the alleged offence are as follows (attach schedule if needed):
The Informant asks that a warrant be granted to search the building, receptacle or place for the listed things:
(Check one as applicable):
by day (between 8:00 a.m. and 9:00 p.m. of the same day)
□ between m. and m.
□ on , 20 .
by day or night (as justified on the information)
□ between m. and m.
□ on , 20 .
□ between , 20 and 20 .
as justified under section 2C of the Summary Proceedings Act on the following
grounds (attach schedule if needed):
There are no previous attempts to receive a warrant in respect of this same matter to my knowledge except as disclosed as follows:
I believe the above to be true except where otherwise stated.
SWORN OR SOLEMNLY AFFIRMED before me by telephone or other form of telecommunication
at ______Nova Scotia
on ______, 20 ,
Signature of Informant Peace Officer Designated Justice of the Peace
CERTIFICATE - subsection 487.1(2.1) Criminal Code
I certify that this information was received at ______Nova Scotia at ____o’clock ___ m.
on , 20 .
Designated Justice of the Peace