Trespass Notice at a glance
What it is: The Trespass Notice is a notice under the Trespass to Property Act, R.S.O. 1990, CH 20.
Who signs: The Authority signs after Authority Signature.
The blank Trespass Notice: print it and complete it by hand

How to fill out Trespass Notice, box by box
TO, FROM, CITY, POSTAL CODE, DATE, EFFECTIVE DATE and EXPIRY DATE
Write after To, From, City, Postal Code, Date, Effective Date and Expiry Date.
NOTICE
"Please consider this notice that after ___________________, you are not to enter upon the premise known as _______________________, and if you do so it shall be considered trespass and you may be charged."
The form prints this NOTICE (the form checked November 12, 2026): "Please note that any person who enters upon a premises when entry is prohibited under the Trespass to Property Act is guilty of an offence and on conviction is liable to a fine of not more than $1000.00. In addition, a Police Officer may arrest you if he/she believes on a reasonable and probable grounds that you are on the premises, illegally. In addition, a Police Officer who, on reasonable and probable grounds finds that you have trespassed and made a fast departure from the premises, may arrest you."
Belleville Police Service
"This notice shall be filed with the Belleville Police Service, and I shall not hesitate to call upon their services if you are found on the premises at" Write after it.
Acknowledgement of receipt of notice
The line after Acknowledgement of receipt of notice is for the acknowledgement of receipt of notice.
Sources
[1] Belleville Police Service, Trespass Notice (the Official source link on this page).
