Notice of Application to Vary Bail Conditions

Section 33 Bail Act 2000

Rule 2.12-2.14 Criminal Procedure Rules 2012

Name of defendant: CRI:

Defendant’s contact Scheduled court:

number

Defendant’s lawyer: Next hearing date:

Charges
List of charges the defendant is facing:

Existing Bail Conditions

To reside at ________________________________________________
Curfew to _____________________ between ____________ and
What are the existing _____________
conditions: On Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday
and present self at the door (cross out any days not appropriate)
Tick and complete the Not to drive a motor vehicle
relevant conditions. Not to associate or have contact directly or indirectly with
List any other conditions Not to consume alcohol
not included on the form Not to enter licensed premises other than supermarkets
Not to consume non prescribed drugs
Specify the reasons for
the application to vary
the bail conditions

List the condition(s) to

be varied

Signature
Name: Date:

Signed:

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Prosecution views
Prosecutor name Prosecutor address
for service

We agree to this bail variation Yes No

If the bail variation is opposed:

Which bail condition is
opposed

State the grounds for

the opposition

Signature
Name: Date:

Signed:

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