Form No. 1: Application for Ministerial Review - Miscarriages of Justice

PDF Version

Instructions

  1. Before completing any forms, please review the How to Apply page.
  2. Forms cannot be completed online. They must be printed, completed and mailed to:
    Minister of Justice
    Criminal Conviction Review Group
    284 Wellington Street
    Ottawa, Ontario
    K1A 0H8

Section A - Personal Information

Name

Alias or Former Name

Address

Date of Birth

RCMP Automated Fingerprint Identication System No. (if any )

Type of Conviction (Summary or Indictable or Finding of Dangerous Offender or Long-Term Offender

Person Making Application on Applicant's Behalf (if any)

Telephone Number

Representative's Address

Section B - Supporting Information

Pre-Trial Hearing

Date of Preliminary Inquiry

Court and Its Address

Date of Other Pre-Trial Motions (eg. Bail Hearing, Charter Application, etc.)

Particulars Relating to Motion

Trial

Date of Trial

Court and Its Address

Plea:

Names and Addresses of Counsel

Mode of Trial

Date of Conviction

Date of Sentence

Particulars Relating to Motion

Court of Appeal

Date of Appeal Filed

Date of Hearing

Date of Decision

Address of Court

Supreme Court of Canada

Date of Appeal Filed

Date of Hearing

Date of Decision

Grounds for Application

Add another page if needed

Description of the New Matters of Significance that Support this Application

Add another page if needed

Section C - Required Documents (Mandatory)

Applicant's Consent to the Release of Personal Information

Pre-Trial

If unable to provide any of the following, please explain why

Explanation

Trial

Explanation

Appeals

Explanation

Section D - Other Supporting Evidence (Optional)

(Affidavits, letters, photographs, plans, drawings, technical and scientific reports, etc.)

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