OCJ CV s.519.1CC version June 2, 2020 1.5.1
Page 4 of 4
PART 3: COUNSEL (if Represented)
My client understands the current release order remains in effect and the order is not changed
until they have been notified by the Court or myself that the request for variation has been
accepted by the Crown and the Justice of the Peace or Provincial Court Judge.
I completed the surety portion of the form and confirmed with the surety(ies) that they are
aware of the variation and consent to the variation.
Last Name First Name:
Telephone Number Email Address (if available)
ext.
PART 4: PROSECUTOR
I consent to the above variation
I DO NOT consent to the above variation
Today’s date (dd-mmm-yyyy)
Name of Prosecutor
Last Name First Name
PART 5: Justice of the Peace / Provincial Court Judge
The Release Order is varied on the above-noted terms.
The application is dismissed, the Release Order is NOT varied.
Today’s date (dd-mmm-yyyy) Signature of Justice of the Peace / Provincial Court Judge
click to sign
signature
click to edit