Authorization and Designation Ministry of Transportation (MTO), Ontario Court of Justice And Ministry of the Attorney General

Court File No / All Tickets Information IFCR and IOOXP

First and Last Legal Name, I *

Email *

Last Known Address

My date of birth (Y/M/D) *

Drivers Licence Number (Optional)

Authorize Danil Slovak and TheParalegal.ca Team, my designate representative. To receive and review computer screen prints which may relate to my matters before the ONTARIO Court of Justice.

Signature of Defendant *

Clear

DATED at, Toronto, Ontario, on this *