Court File No.
COURT OF ONTARIO
(Superior Court of Justice)
HER MAJESTY THE QUEEN
— and —
(specify name of accused)
(Criminal Proceedings Rules, Rule 4.09, Form 22)
TO THE LOCAL REGISTRAR AT (place)
I REQUIRE (Set out a concise statement of what is sought and include all particulars necessary for the registrar to act. Where what is sought is authorized by an order, refer to the order in the requisition and attach a copy of the entered order. Where an affidavit or other document must be filed with the requisition, refer to it in the requisition and attach it).
(Date)(Name and address and telephone number of solicitor or person filing requisition)
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