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Form No. 3
Waiver of Solicitor-Client Privilege
Please Print
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I,
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[name],
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of
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[city, town, municipality],
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in the Province of
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,
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was convicted for
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[name of offence]
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in relation to
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[specifics of offence]
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on
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[date of conviction].
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I am submitting an application under sections
696.1 to 696.6 of the Criminal
Code for a review of this
conviction.
These are the names and addresses of all counsel
who represented me in court proceedings in relation to the charge
and conviction:
By signing this document, I waive any
solicitor-client privilege to which these counsel are subject.
They
may discuss any aspect of the case with any designated
representative of the Minister of Justice while my
application is being assessed.
I understand that waiving my solicitor-client
privilege means that my counsel:
- are allowed to discuss
anything about the case that is the subject of the application with
any designated
representative of the Minister of Justice, and
- are allowed to disclose
all forms of communication between myself and them and to provide
originals or copies of correspondence, documents or anything else
that is related to the case that is the subject of the application
to any designated representative of the Minister of
Justice.
I sign this waiver voluntarily.
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Applicant's Signature
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Date
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Witness's Signature
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Date
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Full Name of Witness
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Province
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