CSR-2-40-E (2013/11)

Form 2 NOTICE OF APPEAL

(Criminal Code, sections 813 or 830 and Criminal Proceedings Rules, Rule 40)ONTARIO

SUPERIOR COURT OF JUSTICE

RegionCourt File No. (if known)

BETWEEN:HER MAJESTY THE QUEEN

- and -

(specify name of accused)

TAKE NOTICE that (indicate the name of the accused or name of the informant,

or the Attorney General of , on behalf of Her Majesty the Queen)

appeals against the(specify: conviction, order or sentence (subparagraphs 813(a)(i), (ii)), order staying proceedings, order dismissing an information, or sentence (subparagraphs 813(b)(i), (ii)) or conviction, judgment or verdict of acquittal or other final order or determination (subsection 830(1))

(list offences)

made by His (or Her) Honour Judge of the Ontario Court of Justice

at , Ontario, on(specify date)

, 20 .

THE DATES UPON WHICH THE SUMMARY CONVICTION COURT HEARD EVIDENCE ARE AS FOLLOWS: (specify all dates upon which evidence was heard)

CSR-2-40-E (2013/11)

Page 2 NOTICE OF APPEAL

(Criminal Code, sections 813 or 830 and Criminal Proceedings Rules, Rule 40, Form 2)

THE GROUNDS FOR THIS APPEAL ARE:

1. That (indicate grounds for appeal, taking into consideration the statutory bases for appeal granted by the provision under which the appeal

is instituted (i.e. the necessity of demonstrating error in point of law, excess of or refusal or failure to exercise jurisdiction if the appeal is brought under subsection 830(1))

2. That

3. Such further and other grounds as counsel may advise and this Honourable Court may permit.

ON THE HEARING OF THIS APPEAL, THE APPELLANT WILL RELY UPON THE FOLLOWING: (set out documents such as transcripts, etc., upon which the appellant relies) 1.

THE RELIEF SOUGHT IS: 1. An Order allowing the appeal

CSR-2-40-E (2013/11)

Page 3 NOTICE OF APPEAL

(Criminal Code, sections 813 or 830 / Criminal Proceedings Rules, Rule 40, Form 2)

THE APPELLANT MAY BE SERVED WITH DOCUMENTS PERTINENT TO THIS APPEAL: 1. By service in accordance with rule 5, through (specify address and fax number)

DATED at , Ontario,

on this day of , 20 .

Signature of appellant or solicitor

(set out name and address, as well as telephone and fax numbers)

CSR-2-40-E (2013/11)

Court File No.

Form 3 BACKSHEET

SUPERIOR COURT OF JUSTICE

HER MAJESTY THE QUEEN

- and -

(Notice of Appeal, Form 2)

(Criminal Proceedings Rules, Form 3)

(name of counsel)

(complete address of counsel)

(counsel’s telephone and fax numbers with area code)

Form 2 NOTICE OF APPEAL�

CSR-2-40-E (2013/11)

CSR-2-40-E (2013/11)

CSR-2-40-E (2013/11)

Form 2 NOTICE OF APPEAL

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Form 2

NOTICE OF APPEAL

(Criminal Code, sections 813 or 830 and 

Criminal Proceedings Rules, Rule 40)

ONTARIO

SUPERIOR COURT OF JUSTICE

BETWEEN:

HER MAJESTY THE QUEEN

- and -

TAKE NOTICE that 

or the Attorney General of

, on behalf of Her Majesty the Queen)

appeals against the

(specify: conviction, order or sentence (subparagraphs 813(a)(i), (ii)), order staying proceedings, order dismissing an information, or sentence (subparagraphs 813(b)(i), (ii)) or conviction, judgment or verdict of acquittal or other final order or determination (subsection 830(1))

made by His (or Her) Honour Judge

of the Ontario Court of Justice

at

, Ontario, on

, 20

.

THE DATES UPON WHICH THE SUMMARY CONVICTION COURT HEARD EVIDENCE ARE AS FOLLOWS:

(specify all dates upon which evidence was heard)

Page 2

NOTICE OF APPEAL

(Criminal Code, sections 813 or 830 and Criminal Proceedings Rules, Rule 40, Form 2)

THE GROUNDS FOR THIS APPEAL ARE:

1.         That

         (indicate grounds for appeal, taking into consideration the statutory bases for appeal granted by the provision under which the appeal is instituted (i.e. the necessity of demonstrating error in point of law, excess of or refusal or failure to exercise jurisdiction if the appeal is brought under subsection 830(1))

2.         That     

3.         Such further and other grounds as counsel may advise and this Honourable Court may permit.

ON THE HEARING OF THIS APPEAL, THE APPELLANT WILL RELY UPON THE FOLLOWING:(set out documents such as transcripts, etc., upon which the appellant relies) 

1.

In support of this application, the Applicant relies upon the following:(set out documents such as transcripts, etc. upon which the Applicant relies) . Evidence

THE RELIEF SOUGHT IS:

1. An Order allowing the appeal

Page 3

NOTICE OF APPEAL

(Criminal Code, sections 813 or 830 / Criminal Proceedings Rules, Rule 40, Form 2)

THE APPELLANT MAY BE SERVED WITH DOCUMENTS PERTINENT TO THIS APPEAL:

1. By service in accordance with rule 5, through

         (specify address and fax number)

, Ontario,

on this

day of

, 20

.

Form 3

BACKSHEET

SUPERIOR COURT OF JUSTICE

HER MAJESTY THE QUEEN

- and -

(Notice of Appeal, Form 2)

8.0.1291.1.339988.308172

Form 2 NOTICE OF APPEAL(Criminal Code, sections 813 or 830 and Criminal Proceedings Rules, Rule 40)

Form 2 NOTICE OF APPEAL

MAG

Field 1: Field 2: Field 3: TextField1: Region: Court File Number: Name of accused: applicant/respondent: appellant/respondentSpecify name of accused: , Ontario, on (Specify date): Specify: conviction, order or sentence (subparagraphs 813(a)(i), (ii)), order staying proceedings, order dismissing an information, or sentence (subparagraphs 813(b)(i), (ii)) or conviction, judgment or verdict of acquittal or other final order or determination (subsection 830(1)): List offences: , 20: The dates upon which the summary conviction court heard evidence are as follows:(Specify all dates upon which evidence was heard)(set out documents such as transcripts, etc. upon which the Applicant relies) 1.: The grounds for this application are: 2. That: On the hearing of this appeal, the appellant will reply upon the following:(Set out documents such as transcripts, etc., upon which the Appellant relies) 1.: The relief sought is:1. An Order allowing the appeal: The Appellant may be served with documents pertinent to this appeal1. By service in accordance with rule 5, through(Specify address and fax number): Complete address of counsel: on this: day of: Signature of applicant or solicitor: Set out name and address, as well as telephone and fax numbers.: Name of accused/applicant/appellant/respondent: accused/applicant/appellant/respondent: (name of accused/applicant/appellant/respondent)Criminal Proceedings Rules, Form 3: Name of counsel: Counsel’s telephone and fax numbers with area code: Save Form: Print Form: Clear Form: