Fillable ONTARIO COURT OF JUSTICE APPLICATION FOR CONSENT VARIATION

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ONTARIO COURT OF JUSTICE APPLICATION FOR CONSENT VARIATION

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Country of origin: CANADA
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OCJ CV s.502(1) CC version May 5, 2020 1.2 Page 1 of 3
ONTARIO COURT OF JUSTICE
APPLICATION FOR CONSENT VARIATION OF POLICE UNDERTAKING
Section 502(1) Criminal Code (Use this Form if You Were Released by a Police Officer)
PART 1: APPLICANT/ACCUSED INFORMATION
Last Name* First Name*
Date of Birth (dd-mmm-yyyy)* Occupation
Unit Number Street Number Street Name PO Box
City/Town Province/State Postal/Zip Code
Telephone Number Email Address (if available)
ext.
Consent of the Crown is requested to change the Undertaking as follows:*
(Please identify the part(s) of the Undertaking you would like changed)
Ontario
OCJ CV s.502(1) CC version May 5, 2020 1.2 Page 2 of 3
The reasons for asking that the Undertaking be changed are:*
(Please explain why you want the Undertaking c
hanged)
I understand the current Undertaking remains in effect and the order is not changed until I have been
notified by the Crown, or my lawyer the request for variation has been granted.
Today’s date (dd-mmm-yyyy)*
Name of Accused
Last Name* First Name*
OCJ CV s.502(1) CC version May 5, 2020 1.2 Page 3 of 3
PART 2: COUNSEL (if Represented)
My client understands the current Undertaking 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.
Last Name First Name:
Telephone Number Email Address (if available)
ext.
PART 3: 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
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ONTARIO COURT OF JUSTICE APPLICATION FOR CONSENT VARIATION

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Completed 16 June 2021

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