FORM A

Canada

Province of Quebec

Quebec Superior Court

(Criminal Division)

(given names and surname of applicant)

Application pursuant to section 745.6 of the Criminal Code for a reduction in the number of years of imprisonment without eligibility for parole

To the Honourable Chief Justice of the Quebec Superior Court:

  • 1 I, the undersigned, (given names and surname of applicant) born on (applicant’s date of birth) and currently detained at (name and place of institution of detention), hereby request that, pursuant to section 745.6 of the Criminal Code, the number of years of imprisonment during which I would not be eligible for parole with respect to the sentence imposed on me on the day of the month of , at (place of trial), Quebec, be reduced to years.

  • 2 Since my arrest for the offence referred to in paragraph 3, I have been detained in the following institutions: (Give a COMPLETE list of the institutions, places of the institutions and specify the date of entry and transfer in EACH case).

  • 3 The sentence referred to in paragraph 1 was imposed on me for the following offence: (Indicate the offence for which the applicant was convicted and give the date of conviction).

  • 4 The sentence that was imposed on me is as follows: (give a description of the sentence) and the number of years of imprisonment without eligibility for parole was set at (give number of years). (Indicate whether the sentence has been commuted, and if so, give the date of commutation).

  • 5 My criminal record is as follows: (Give a complete list of convictions, sentences and the dates of each one).

  • 6 I am awaiting trial or sentencing with respect to the following offences: (Give a complete list of all outstanding charges and the date fixed for the next hearing).

  • 7 In support of my application I am relying on the following grounds: (Specify ALL grounds PRECISELY and CONCISELY).

  • 8 My address for purposes of service is: (Give COMPLETE address).

Filed with the Clerk of the Superior Court of Quebec, Criminal Division, Courthouse, Judicial District of Montreal, this day of the month of , 200

(Signature of applicant)

 
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