APPLICATION TO VARY A PROBATION ORDER ... - …

1 PROBATION Officer/ Case Manager is :dd/mm/yyyy_____ PROBATION Officer / Case Manager SignatureComments: _____ _____ Name of Crown Attorney: _____ Phone Number: _____ city/town/municipalityCrown Attorney Signature_____ Date1. INITIATED BY: (Check appropriate box) APPLICATION TO VARY A PROBATION ORDER Canada: Province of Manitoba Date of PROBATION ORDER : _____ Judge: _____ For office use only: Court File OffenderOther _____Date of birth_____Offender Name _____Offender Address _____middle name(s)first namesurnamestreet addresscity/town/municipalityHome telephone number _____ Alternate telephone number_____provincepostal codeAn APPLICATION under section (3) of the Criminal Code to.

2 Change a condition of a PROBATION ORDER (specify below)Other _____ (specify below)This APPLICATION is based on the following reasons: (if more space is required use additional pages) _____ _____ _____ dd/mm/yyyycity/town/municipalityOffender SignatureDated _____ at _____ , Manitoba _____Application granted dd/mm/yyyyApplication denied Dated _____ at _____ , Manitoba _____Hearing required (return to crown's office)CRT20259 (2015/11) Signature of Judge/Justice or Clerk of the Court on Behalf of Judge/ Justice CourtOther _____ _____ _____ PROBATION Officer / Case ManagerHas the offender reported regularly?

3 Has the offender been compliant with other conditions?Has the offender completed counselling?Risk to re-offend generally:The changes requested are: (if more space is required use additional pages) _____ _____ _____ LowVery LowMediumHighVery HighNot AssessedYesNoN/AYesYesNoNoN/AN/ANot OpposedOpposedExplanation: _____ _____ Offender2. TO BE COMPLETE BY PROBATION OFFICER:Name of PROBATION Officer / Case Manager: _____ Address:_____ Phone Number: _____3. TO BE COMPLETED BY CROWN ATTORNEY:Crown is :Not OpposedOpposedCrown_____ DateProbation ORDER is: ProbationSupervisedUnsupervised (except for CSW hours)Federal ProvincialI have read and understand the Variation of A PROBATION ORDER Information Sheet.

4 Have the term of a PROBATION ORDER decreased or be relieved of a condition (specify below)Police AgencyAttach OrderTHE COURT ORDERS:VARIATION OF A PROBATION ORDER INFORMATION SHEET An APPLICATION to vary a PROBATION ORDER is required where a person has been granted PROBATION and seeks to change the terms of the PROBATION ORDER . The crown attorney or a PROBATION officer can also make an APPLICATION to vary a PROBATION ORDER . Follow the steps below for making an APPLICATION : Obtain an APPLICATION to Vary a PROBATION ORDER form from any court office or PROBATION part 1 of the APPLICATION and attach a copy of your PROBATION Individuals on Supervised PROBATION Orders: Give the completed form to your PROBATION officer/case manager so they can complete part 2.

5 Your PROBATION officer/case manager will then forward the APPLICATION to the crown attorney to complete part Individuals with Unsupervised PROBATION Orders: Give the completed APPLICATION to the crown attorney's office so they can complete part the Crown is not opposed to the change, the APPLICATION will be forwarded to the court office for the judge's consideration. If the judge approves the change you will be notified in writing. If the Crown is opposed to the change or if the judge will not approve the change without a court hearing you will be notified in writing.

6 You will be provided with information explaining how a hearing can be arranged should you wish to continue with your APPLICATION .