CACR

NOTICE OF APPEAL

(All Offenders)

THE COURT OF APPEAL FOR SASKATCHEWAN

BETWEEN:

Appellant

AND:

HER MAJESTY THE QUEEN

Respondent

• A. THE APPELLANT WISHES TO APPEAL FROM:

  CONVICTION

  CONVICTION AND SENTENCE

  SENTENCE ALONE

  DANGEROUS OFFENDER OR LONG-TERM OFFENDER DESIGNATION

  OTHER (nature of appeal other than above)

• B. PARTICULARS OF APPELLANT:

  Name: Last nameFirst nameMiddle name

  Date of Birth: year/ month/ day

  If the appellant is a corporation: corporate name

  If the appellant is in custody: penal institution

  If the appellant is not in custody:

  Address:
  	address
  	city
  	province
  	postal code

  Phone number: ()

  Email address:

  Fax number: ()

• C. PARTICULARS OF CONVICTION AND SENTENCE

  1.	Location of Conviction:	Provincial Court
  			city or town
  		or
  		Court of Queen’s Bench
  		Judicial Centre of
  2.	Name of Judge:
  3.	Offence(s) the offender was convicted of:
  4.	Sentence imposed:
  5.	Date of Conviction:	/	/	/
  		year	month	day
  6.	Date of Sentence:	/	/	/
  		year	month	day

• D. GROUNDS OF APPEAL:

  THE APPELLANT WISHES TO APPEAL FOR THE FOLLOWING REASONS:

  

  

  

  (this section may be expanded or additional pages may be attached)

• E. LEGAL REPRESENTATION:

  1. The Appellant is represented on appeal by:
  Name of Lawyer:
  	Last name	First name
  Address:
  	address
  	city
  	province
  	postal code
  Phone number: ()
  Email address:
  Fax number: ()
  -OR-
  2. The appellant does not presently have a lawyer but he or she intends to:
  		arrange for legal representation
  		or
  		act for himself/herself on appeal.

• F. PRESENCE AT APPEAL HEARING (MARK ONE ONLY):

  At the appeal hearing, the Appellant wishes to:

  be personally present

  or

  appear by video conference connection

  (if available at penal institution)

  or

  not be present

• G. IF A NEW TRIAL IS DIRECTED, THE APPELLANT WISHES TO BE TRIED:

  by judge and jury

  or

  by single judge.

Date: year/ month/ day/

(Please Note: A copy of this Notice of Appeal will be provided to the Crown by the Registrar.)