APPLICATION TO CANCEL SURETY / RESPONSIBLE PERSON UNDERTAKING BAIL ACT 1982 Form 14
1. Applicant Details Name Tick [ ] appropriate box
Police Officer/Prosecutor Address Surety / Responsible Person Other Telephone No Fax
2. Accused Details Full Name Address
Date of Birth Male Female
3. Court Ref No/s
4. Accused Next Court Date Location
APPLICATION DETAILS
The accused is not likely to comply with the requirement of his/her bail undertaking; or Is or has been in breach of any condition of his/her bail undertaking; or
Other (please state reason)
Brief details of application
Signature of Applicant Date
APPLICATION HEARING DATE
Date Time or as soon after as possible
Place
DECISION OF COURT
Pursuant to Section 48(3) accused hereby caused to appear before the court by issue of Warrant to arrest
Summons to attend; or
Application dismissed; or
Application adjourned to ……………/……………/…………
Judicial Officer…………………………………………………….Date…………/………………../……………
Important : Your obligation as a surety does not cease by submitting this application. Until the accused is brought before the Court and an order is made cancelling your surety undertaking, your obligations continue and an order for forfeiture may still be made if the accused fails to appear as required.
COURT COPY
APPLICATION TO CANCEL SURETY / RESPONSIBLE PERSON UNDERTAKING BAIL ACT 1982 Form 14
1. Applicant Details Name Tick [ ] appropriate box
Police Officer/Prosecutor Address Surety / Responsible Person Other Telephone No Fax
2. Accused Details Full Name Address Date of Birth Male Female
3. Court Ref No/s
4. Accused Next Court Date Location
APPLICATION DETAILS
The accused is not likely to comply with the requirement of his/her bail undertaking; or Is or has been in breach of any condition of his/her bail undertaking; or
Other (please state reason)
Brief details of application
Signature of Applicant Date
APPLICATION HEARING DATE
Date Time or as soon after as possible
Place
Important : Your obligation as a surety does not cease by submitting this application. Until the accused is brought before the Court and an order is made cancelling your surety undertaking, your obligations continue and an order for forfeiture may still be made if the accused fails to appear as required.
SURETY COPY
APPLICATION TO CANCEL SURETY / RESPONSIBLE PERSON UNDERTAKING BAIL ACT 1982 Form 14
1. Applicant Details Name Tick [ ] appropriate box
Police Officer/Prosecutor Address Surety / Responsible Person Other Telephone No Fax
2. Accused Details Full Name Address Date of Birth Male Female
3. Court Ref No/s
4. Accused Next Court Date Location
APPLICATION DETAILS
The accused is not likely to comply with the requirement of his/her bail undertaking; or Is or has been in breach of any condition of his/her bail undertaking; or
Other (please state reason)
Brief details of application
Signature of Applicant Date
APPLICATION HEARING DATE
Date Time or as soon after as possible
Place
Important : Your obligation as a surety does not cease by submitting this application. Until the accused is brought before the Court and an order is made cancelling your surety undertaking, your obligations continue and an order for forfeiture may still be made if the accused fails to appear as required.
POLICE/PROSECUTION COPY