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 number
Scheduled court:
Defendant’s lawyer:
Next hearing date:
Charges
List of charges the defendant is facing:
Existing Bail Conditions
What are the existing conditions: Tick and complete the relevant conditions. List any other conditions not included on the form
To reside at ________________________________________________ Curfew to _____________________ between ____________ and
_____________ On Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday
and present self at the door (cross out any days not appropriate) Not to drive a motor vehicle Not to associate or have contact directly or indirectly with Not to consume alcohol Not to enter licensed premises other than supermarkets Not to consume non prescribed drugs
Page 2 of 3
Specify the reasons for the application to vary the bail conditions
List the condition(s) to be varied
Signed:
Signature
Name: Date:
Page 3 of 3
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: