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
Phone
Fax
2. Accused Details / Full Name
Address
Date of Birth / Male / Female
3. Court RefNo/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
Signatureof 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
Phone
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
Phone
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