Appendix I1

Scotland

F1FORM 2.2A

Form of notice to accompany the indictment, lists of witnesses and productions and notice of compearance being served on a solicitor under section 66(6C) of the Criminal Procedure (Scotland) Act 1995

Rule 2.2A

F2F3FORM 2.3A

Form of notice to accompany anything being served on, given, notified or intimated to a solicitor under section 72G of the Criminal Procedure (Scotland) Act 1995

Rule 2.3A

FORM 2.6-A

Form of execution of service of indictment and of citation of accused under section 66(2) of the Criminal Procedure (Scotland) Act 1995

Rule 2.6(1)

F4F5FORM 2.6-AA

Form of execution of citation of accused by notice under section 66(4)(b) of the Criminal Procedure (Scotland) Act 1995

EXECUTION OF CITATION OF ACCUSED BY AFFIXING A NOTICE

Rule 2.6(1A)

F6 F7FORM 2.6-B

Form of execution of service of complaint on accused

Rule 2.6(2)

F8 F9F10FORM 2.6-BA

Form of execution of citation of accused by notice under section 141(2A) of the Criminal Procedure (Scotland) Act 1995

EXECUTION OF CITATION OF ACCUSED BY AFFIXING A NOTICE

Rule 2.6(2A)

FORM 2.6-C

Form of execution of personal service of citation of a witness at a trial on indictment

Rule 2.6(3)

F11FORM 2.6-D

Form of execution of personal service of citation of witness to appear at summary trial

Rule 2.6(4)

F12F13FORM 2.6-EA

Form of execution of citation of offender under section 15(5) or 18(1) of the Prisoners and Criminal Proceedings (Scotland) Act 1993

EXECUTION OF CITATION

Rule 2.6(5)(a)

F14FORM 2.6-EB

Form of execution of citation of probationer under section 232 or 233 of or paragraph 5(1) of Schedule 6 to the Criminal Procedure (Scotland) Act 1995

EXECUTION OF CITATION

Rule 2.6(5)(b)

...

FORM 2.6-EC

Form of execution of citation of offender under paragraph 4(1) or 5(3) of Schedule 7 to the Criminal Procedure (Scotland) Act 1995

EXECUTION OF CITATION

Rule 2.6(5)(c)

...

FORM 2.6-ED

Form of execution of citation of offender under section 239(4) or 240(3) of the Criminal Procedure (Scotland) Act 1995

EXECUTION OF CITATION

Rule 2.6(5)(d)

...

F15FORM 2.6-EE

Form of execution of citation of offender under section 245E(3) or 245F(1) of the Criminal Procedure (Scotland) Act 1995

EXECUTION OF CITATION

Rule 2.6(5)(e)

F16FORM 2.6-EF

Form of execution of citation of offender under section 234E(2) or 234G(1) of the Criminal Procedure (Scotland) Act 1995

EXECUTION OF CITATION

Rule 2.6(5)(f)

F17FORM 2.6-EH

FORM 2.6-EI

FORM 2.6-EJ

F18FORM 2.6-EK

FORM 2.6-EL

F19F20FORM 2.6–EG

Form of execution of citation under section 245N(2) or 245P(3) of the Criminal Procedure (Scotland) Act 1995

Rule 2.6(5)

F21FORM 2.6-F

Form of execution of service under rule 2.3(1)

Rule 2.6(6)

F22FORM 2.6–G

Form of execution of service etc. of documents under section 66(6C) or section 72G of the Criminal Procedure (Scotland) Act 1995

EXECUTION OF SERVICE ON ACCUSED'S SOLICITOR IN SOLEMN PROCEEDINGS

Rule 2.6(7)

F23 F24F25FORM A4.1

Form of application to court to excuse procedural irregularities under section 300A of the Criminal Procedure (Scotland) Act 1995

Rule A4.1

F26FORM 3.1-A

Form of summary of proceedings at trial in High Court in Book of Adjournal

Rule 3.1(1)(a)(ii)

...

F27FORM 3.1-B

Form of summary of proceedings in petition to the High Court in Book of Adjournal

Rule 3.1(1)(b)(ii)

...

F28 F29FORM 5.2

Form of record of proceedings at judicial examination

Rule 5.2(1)

F30FORM 5.6-A

Form of notice of opinion as to error in or incompleteness of transcript of judicial examination under section 38(1)(a) of the Criminal Procedure (Scotland) Act 1995

Rule 5.6(1)

...

FORM 5.6-B

Form of application for rectification of transcript of judicial examination under section 38(1)(b) of the Criminal Procedure (Scotland) Act 1995

Rule 5.6(3)

...

FORM 5.6-C

Form of intimation of agreement for the purposes of section 38(1)(a) of the Criminal Procedure (Scotland) Act 1995

Rule 5.6(5)(a)

...

FORM 5.8

Form of intimation by prosecutor of postponement of trial diet under section 37(7)(b) of the Criminal Procedure (Scotland) Act 1995

Rule 5.8(2)(c)(i)

...

F31FORM 7.1

Form of written application for assessment order under sections 52B(1) and 52C(1) of the Criminal Procedure (Scotland) Act 1995

Rule 7.1(1)

FORM 7.3

Form of written application for treatment order under sections 52K(1) and 52L(1) of the Criminal Procedure (Scotland) Act 1995

Rule 7.3(1)

FORM 7.5

Form of order for diet of hearing and warrant to bring accused to court for hearing on variation of assessment order under section 52G(9) or review of treatment order under section 52Q of the Criminal Procedure (Scotland) Act 1995

Rule 7.5

FORM 7.6

Form of order for diet and warrant to bring offender to court for hearing on interim compulsion order

Rule 7.6(1)

F32 F33F34FORM 7.9

Form of note of appeal under section 62 or 63 of the Criminal Procedure (Scotland) Act 1995

Rule 7.9

F35FORM 7A.2-A

F36FORM 7A.2-B

F37FORM 7A.3

F38FORM 7A.4

F39FORM 7A.5

F407A.6-A

F417A.6-B

F427A.6-C

F437A.7-A

F447A.7-B

F457A.7-C

F46 F47F487A.9

F497A.10

F50FORM 8.1-A

Form of note of appeal against grant or refusal of extension of period of 11 or 12 months under section 65(8) of the Criminal Procedure (Scotland) Act 1995

Rule 8.1(1)

FORM 8.1-B

Form of note of appeal against grant or refusal of extension of 80, 110 or 140 days period of committal under section 65(8) of the Criminal Procedure (Scotland) Act 1995

Rule 8.1(2)

F51 F52F53FORM 8.2-A

Form of notice of citation to be affixed to the door of the relevant premises under section 66(4)(b) of the Criminal Procedure (Scotland) Act 1995

Rule 8.2(1)

F54FORM 8.2-AA

Form of notice of citation be affixed to the door of the accused’s dwelling-house or place of business under section 66(4)(b) of the Criminal Procedure (Scotland) Act 1995

Rule 8.2(1A)

FORM 8.2-B

Form of notice to appear under section 66(6) of the Criminal Procedure (Scotland) Act 1995

Rules 8.2(2), 9A.3 and 12.7

F55FORM 8.2-BA

Form of notice to accused to appear under section 66(6) of the Criminal Procedure (Scotland) Act 1995 where the charge in the indictment is of committing a sexual offence to which section 288C of the Criminal Procedure (Scotland) Act 1995 applies

Rule 8.2(2)

F56FORM 8.2–C

Form of notice to accused to appear under section 66(6) of the Criminal Procedure (Scotland) Act 1995 where the charge in the indictment is of committing a sexual offence to which section 288C, or an offence to which section 288E, of the Criminal Procedure (Scotland) Act 1995 applies.

Rules 8.2(2), 9A.3 and 12.7

F57FORM 8.2-D

FORM 8.2-E

Form of response form to be completed and returned by witness cited to appear at trial on indictment WITNESS RESPONSE FORM

Rule 8.2(3)

F58FORM 8.2–F

F59FORM 8.2-G

Form of notice of citation of body corporate to be affixed to the door of the relevant premises under section 66(4)(b) of the Criminal Procedure (Scotland) Act 1995

Rule 8.2(1)

F60FORM 8.2-H

Form of notice for body corporate to appear under section 66(6) of the Criminal Procedure (Scotland) Act 1995

Rule 8.2(5)

F61FORM 8.3

Form of notice of previous convictions in solemn proceedings

Rule 8.3

F62FORM 8A.1-A

Form of notification of engagement as solicitor in solemn proceedings

Rule 8A.1(1)

FORM 8A.1-B

Form of notification of dismissal or withdrawal of solicitor for accused in solemn proceedings

Rule 8A.1(2)

F63FORM 8B.1

Form of warrant for the apprehension of an accused under section 102A(2) of the Criminal Procedure (Scotland) Act 1995

Rule 8B.1

F64FORM 8C.1

Application for transfer of petition custody proceedings under section 34A(1) of the Criminal Procedure (Scotland) Act 1995

Rule 8C.1

F65F66FORM 9.1

Form of minute of notice under section 71(2) of the Criminal Procedure (Scotland) Act 1995

Rule 9.1(1)

F67FORM 9.3A

F68F69FORM 9.6

Form of note of appeal under section 74(1) of the Criminal Procedure (Scotland) Act 1995 against a decision of the sheriff at a first diet

Rule 9.6(1)

F70FORM 9.11

Form of minute of abandonment of appeal made under section 74(1) of the Criminal Procedure (Scotland) Act 1995 against a decision of the sheriff at a first diet

NOTICE OF ABANDONMENT OF APPEAL

Rule 9.11(2)

F71FORM 9A.1

Form of minute of notice under section 72(3) or (6)(b)(i) of the Criminal Procedure (Scotland) Act 1995

Rule 9A.1(1)

FORM 9A.2

Form of application for dispensing with a preliminary hearing

Rule 9A.2(1)

F72FORM 9A.3A-A

F73FORM 9A.3A-B

F74 F75 F76F77FORM 9A.4

F78FORM 9A.7

Form of note of appeal under section 74(1) of the Criminal Procedure (Scotland) Act 1995 against a decision of the High Court at a preliminary hearing

Rule 9A.7

FORM 9A.8

Form of minute of abandonment of appeal made under section 74(1) of the Criminal Procedure (Scotland) Act 1995 against a decision of the court at a preliminary hearing

Rule 9A.8

FORM 9B.1

Form of minute of notice under section 79A(2) of the Criminal Procedure (Scotland) Act 1995

Rule 9B.1(1)

F79FORM 10.1-A

Form of notice of special diet where accused intends to plead guilty (where indictment not already served)

Rule 10.1(1)(a)

F80FORM 10.1-B

Form of notice of special diet where accused intends to plead guilty (where indictment already served)

Rule 10.1(1)(b)

F81FORM 12.1

Form of intimation by prosecutor of adjournment of diet under section 75A of the Criminal Procedure (Scotland) Act 1995

Rule 12.1(3)

F82FORM 12.2-A

Form of minute for alteration of diet under section 75A of the Criminal Procedure (Scotland) Act 1995

Rule 12.2(1)

F83FORM 12.2-B

Form of joint minute for alteration of diet under section 75A of the Criminal Procedure (Scotland) Act 1995

Rule 12.2(2)

F84FORM 12.7

Form of minute of continuation of a floating trial diet in the High Court of Justiciary F85or a continued diet in the sheriff court

Rule 12.7

FORM 13.2-A

Form of citation of person summoned to serve as a juror under section 85(4) of the Criminal Procedure (Scotland) Act 1995

Rule 13.2(1)

FORM 13.2-B

Form of certificate of execution of service and citation of witness under section 85(4) of the Criminal Procedure (Scotland) Act 1995

Rule 13.2(2)

F86FORM 13A.2–A

Form of application for warrant for the apprehension of a witness under section 90A or 90D of the Criminal Procedure (Scotland) Act 1995

Rule 13A.2(1)

FORM 13A.2–B

Form of warrant for the apprehension of a witness under section 90A of the Criminal Procedure (Scotland) Act 1995

Rule 13A.2(3)

FORM 13A.3

Form of application for review under section 90D(1) of the Criminal Procedure (Scotland) Act 1995

Rule 13A.3

FORM 13A.4

Form of note of appeal under section 90E(1) of the Criminal Procedure (Scotland) Act 1995

Rule 13A.4

F87F88FORM 13A.1

Form of citation of witness for precognition under section 267A of the Criminal Procedure (Scotland) Act 1995

Rule 13A.1

FORM 14.3-A

Form of oath for jurors

Rule 14.3(1)

F89FORM 14.3-B

Form of affirmation for juror

Rule 14.3(2)

FORM 14.5-A

Form of oath for witnesses

Rules 14.5(1) and 18.2(1)

FORM 14.5-B

Form of affirmation for witnesses

Rules 14.5(2) and 18.2(2)

FORM 14.7

Form of minute of recording of proceedings

Rule 14.7

F90FORM 15.2-A

Form of intimation of intention to appeal under section 109(1) of the Criminal Procedure (Scotland) Act 1995

Rule 15.2(1)

F91FORM 15.2-B

Form of note of appeal under section 110(1) of the Criminal Procedure (Scotland) Act 1995 or section 19 of the Prisoners and Criminal Proceedings (Scotland) Act 1993

Rule 15.2(2) and (6)

F92 F93FORM 15.2-C

Form of application for extension of time under section 111(2) of the Criminal Procedure (Scotland) Act 1995

Rule 15.2(3)

F94 F95 F96FORM 15.2-D

Form of petition to High Court of Justiciary for bail pending appeal

Rule 15.2(4)

FORM 15.3-A

Form of notification of decision of single judge under section 103(5) of the Criminal Procedure (Scotland) Act 1995

Rule 15.3(1)

F97FORM 15.3-B

Form of application for determination by High Court under section 103(6) of the Criminal Procedure (Scotland) Act 1995

Rule 15.3(2)

F98FORM 15.5A–A

HIGH COURT OF JUSTICIARY, EDINBURGH

NOTICE OF INTIMATION OF PROCEDURAL HEARING

Rule 15.5A(3)

F99FORM 15.5A–B

HIGH COURT OF JUSTICIARY, EDINBURGH

PROCEDURAL HEARING

Rule 15.5A(4)

F100FORM 15.16

HIGH COURT OF JUSTICIARY, EDINBURGH

Rule 15.16

FORM 15.6

Form of notice of abandonment of appeal

Rule 15.6

FORM 15.8

Form of notice to Secretary of State for the purposes of section 117(4) of the Criminal Procedure (Scotland) Act 1995

Rule 15.8(3)

FORM 15.11-A

Form of application to sheriff for suspension of order for disqualification pending appeal

Rule 15.11(2)(a)

FORM 15.11-B

Form of petition to High Court of Justiciary for suspension of order for disqualification from driving pending appeal

Rule 15.11(3)(a)

F101FORM 15.12A-A

Form of petition to High Court of Justiciary for suspension of sentence where intimation of intention to appeal lodged

UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD JUSTICE CLERK and LORDS COMMISSIONERS OF JUSTICIARY

PETITION

[A.B.]

(address)

[orPrisoner in the Prison of (place)]
PETITIONER
under
section 121A of the Criminal Procedure (Scotland) Act 1995
HUMBLY SHEWETH:

That on (date) the petitioner was convicted in the High Court of Justiciary [or sheriff court] at (place) of (specify offence) and was sentenced to (specify relevant sentence).

That on (date) the petitioner lodged with the Clerk of Justiciary an intimation of intention to appeal under section 109(1) of the Criminal Procedure (Scotland) Act 1995.

That (state facts relevant to application).

That the applicant has served a copy of this application on the Crown Agent.

MAY IT THEREFORE please your Lordships under section 121A of the Criminal Procedure (Scotland) Act 1995 to suspend ad interim the sentence.
ACCORDING TO JUSTICE, etc.
(Signed)
[Solicitor for petitioner]
(Address and telephone number of solicitor)

F102FORM 15.12A-B

Form of petition to High Court of Justiciary for suspension of sentence pending appeal

Rule 15.12A(2)

UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD JUSTICE CLERK and LORDS COMMISSIONERS OF JUSTICIARY

PETITION

[A.B.]

(address)

[orPrisoner in the Prison of (place)
orHer Majesty’s Advocate]
PETITIONER
under
section 121A of the Criminal Procedure (Scotland) Act 1995
HUMBLY SHEWETH:

That on (date) the petitioner [or [A.B.] (address) or Prisoner in the Place of (place)] was convicted in the High Court of Justiciary [or sheriff court] at (place) of (specify offence) and was sentenced to (specify relevant sentence).

That on (date) the petitioner lodged with the Clerk of Justiciary [a note of appeal under section 110 of the Criminal Procedure (Scotland) Act 1995 in respect of an appeal under section 106(1)(b) to (e) of that Act] [or an appeal under section 108 of the Criminal Procedure (Scotland) Act 1995].

That the petitioner has served a copy of this petition on the Crown Agent [or [A.B.]].

MAY IT THEREFORE please your Lordships under section 121A of the Criminal Procedure (Scotland) Act 1995 to suspend ad interim the sentence.
ACCORDING TO JUSTICE, etc.
(Signed)
[Solicitor for petitioner]
[Advocate Depute [or Procurator Fiscal]
On behalf of Her Majesty’s Advocate]
(Address and telephone number of solicitor)

F103FORM 16.1-A

Form of complaint under section 138(1) of the Criminal Procedure (Scotland) Act 1995

Rule 16.1(1)

F104 F105FORM 16.1-B

Form of citation of accused in summary proceedings

Rule 16.1(2)

F106F107FORM 16.1-BA

Form of notice to accompany complaint under section 146(3A) of the Criminal Procedure (Scotland) Act 1995 where the accused is charged with a sexual offence to which section 288C of that Act applies

Rule 16.1(3A)

F108F109FORM 16.1-BB

Form of notice of citation to be affixed to the door of the accused’s dwelling-house or place of business under section 141(2A) of the Criminal Procedure (Scotland) Act 1995

Rule 16.1(2A)

F110FORM 16.1-C

F111FORM 16.1-D

MEANS FORM

Rule 16.1(3)(b)

FORM 16.1-E

Form of notice of previous convictions in summary proceedings

Rule 16.1(4)

FORM 16.4-A

Form of incidental application in summary proceedings

Rule 16.4(1)

FORM 16.4-B

Form of assignation of a diet in summary proceedings

Rule 16.4(2)

F112 F113FORM 16.4-C

Form of minutes in minute of proceedings

Rule 16.4(3)

FORM 16.5-A

Form of warrant to apprehend an accused person referred to in section 135 of the Criminal Procedure (Scotland) Act 1995

Rule 16.5(1)(a)

FORM 16.5-B

Form of warrant to search referred to in section 135 of the Criminal Procedure (Scotland) Act 1995

Rule 16.5(1)(b)

FORM 16.5-C

Form of warrant to detain accused in prison or adjourning the case against him

Rule 16.5(2)

F114FORM 16.6-A

Form of postal citation of witness to appear in summary proceedings

Rule 16.6(1)

FORM 16.6-B

Form of reply slip to be completed and returned by witness cited to appear at trial on summary complaint

Rule 16.6(1)

F115FORM 16.6-C

Form of personal citation of witness to appear at trial on summary complaint

Rule 16.6(2)

F116F117FORM 16.6-D

Form of electronic citation of witness to appear in summary proceedings

Rule 16.6(2A)

F118FORM 16.7

Form of petition to postpone or accelerate diet in summary proceedings

Rule 16.7(2)

F119FORM 16A.1-A

Form of notification of engagement as solicitor in summary proceedings

Rule 16A.1(1)

FORM 16A.1-B

Form of notification of dismissal or withdrawal of solicitor for accused in summary proceedings

Rule 16A.1(2)

F120FORM 17.A1

Rule 17.A1

F121 F122FORM 17.1

Form of note of appeal against grant or refusal of extension of 40 days period under section 147(3) of the Criminal Procedure (Scotland) Act 1995

Rule 17.1(1)

F123FORM 17.2

Form of notification of defence under section 149B of the Criminal Procedure (Scotland) Act 1995

Rule 17.2

F124FORM 17A.1-A

F125FORM 17A.1-B

F126FORM 17A.1-C

F127FORM 17A.1-D

F128FORM 17A.1-E

F129FORM 17A.1-F

F130FORM 17A.1-G

FORM 17A.1-H

Application for transfer of proceedings from justice of the peace court to sheriff court under section 137D(1) of the Criminal Procedure (Scotland) Act 1995

Rule 17A.1(h)

F131FORM 18.3-A

Rule 18.3(1)

FORM 18.3-B

Rule 18.3(3)

FORM 18.3A

Rule 18.3A

FORM 18.3B

Rule 18.3B

F132FORM 18.3C

Rule 18.3C

F133FORM 18.6

Form of order of detention in precincts of court under section 169(1) of the Criminal Procedure (Scotland) Act 1995

Rule 18.6

...

F134 F135FORM 19.1-A

Form of note of appeal against decision relating to a preliminary plea

Rule 19.1(4)

F136 F137FORM 19.1-B

Form of minute of abandonment of appeal

Rule 19.1(11)

F138 F139 F140FORM 19.2-A

Form of application for stated case

Rule 19.2(1)

F141 F142FORM 19.2-B

Form of stated case

Rule 19.2(2)

F143 F144FORM 19.2-C

Form of minutes of procedure in appeal by stated case

Rule 19.2(3)

F145 F146 F147FORM 19.3-A

Form of note of appeal against sentence under section 186(1) of the Criminal Procedure (Scotland) Act 1995

Rule 19.3(1)

F148FORM 19.3-B

Form of minutes of procedure in note of appeal against sentence alone under section 186(1) of the Criminal Procedure (Scotland) Act 1995

Rule 19.3(2)

F149 F150FORM 19.4

Form of extension of time by sheriff principal

Rule 19.4

F151FORM 19.5

Form of minute abandoning appeal under section 184(1) of the Criminal Procedure (Scotland) Act 1995

Rule 19.5

F152FORM 19.6

Form of minute abandoning appeal under section 175(8) of the Criminal Procedure (Scotland) Act 1995

Rule 19.6(2)

F153FORM 19.7

Form of minute of abandonment of appeal against sentence alone under section 186(9) of the Criminal Procedure (Scotland) Act 1995

Rule 19.7

F154 F155 F156FORM 19.9

Form of application to High Court for suspension of disqualification from driving

Rule 19.9(3)

F157FORM 19.11–A

F158FORM 19.11–B

F159FORM 19.19

F160FORM 19B.2

F161FORM 19C.1-A

FORM 19C.1-B

FORM 19C.1-B

FORM 19C.3

F162FORM 19D.4

F163FORM 19E.1-A

F164FORM 19E.1–B

F165FORM 19E.2

F166FORM 19E.4-A

F167FORM 19E.4–B

F168FORM 19E.7

~~F169FORM 20.1~~

~~Form of sentence of death~~

~~20.1(1)~~

F170FORM 20.2

Form of order of detention in police custody instead of imprisonment under section 206(2) of the Criminal Procedure (Scotland) Act 1995

20.2

...

F171 F172 F173 FORM F17420.3-A

Form of supervised release order under section 209 of the Criminal Procedure (Scotland) Act 1995

Rule 20.3

F175F176FORM 20.3-B

Form of citation of offender under section 15(5) of the Prisoners and Criminal Proceedings (Scotland) Act 1993

Rule 20.3(2)

F177F178FORM 20.3-C

Form of citation of offender under section 18(1) of the Prisoners and Criminal Proceedings (Scotland) Act 1993

Rule 20.3(3)

F179FORM 20.3A-A

Form of certificate under section 92(2) of the Sexual Offences Act 2003 of conviction or of finding

CERTIFICATE UNDER SECTION 92(2) OF THE SEXUAL OFFENCES ACT 2003 OF CONVICTION [or FINDING]

Rule 20.3A(1)

F180 F181F182FORM 20.3A-B

F183FORM 20.3A-C

FORM 20.4-A

Form of direction as to money found on offender under section 212(1) of the Criminal Procedure (Scotland) Act 1995

Rule 20.4(1)

FORM 20.4-B

Form of notice to governor of prison under section 212(7) of the Criminal Procedure (Scotland) Act 1995

Rule 20.4(2)

FORM 20.5

Form of order for further time for payment of fine under section 214(7) or 215(3) of the Criminal Procedure (Scotland) Act 1995

Rule 20.5

F184FORM 20.6-A

Form of citation to appear for enquiry under section 216(3)(a) of the Criminal Procedure (Scotland) Act 1995

Rule 20.6(1)

F185FORM 20.6-B

Form of execution of citation otherwise than by post of offender for enquiry for non-payment of fine

Rule 20.6(2)

F186FORM 20.6-C

Execution of citation by post, warrant to apprehend and record of proceedings at enquiry under section 216 of the Criminal Procedure (Scotland) Act 1995

20.6(3)

FORM 20.7

Form of notice of fines supervision order under section 217(7) of the Criminal Procedure (Scotland) Act 1995

Rule 20.7

F187FORM 20.8

Form of charge for payment of a fine or other financial penalty

Rule 20.8(2)

F188FORM 20.9-A

Form and notice of transfer of fine order under section 222(1) of the Criminal Procedure (Scotland) Act 1995

Rule 20.9(1)

F189FORM 20.9-B

Form and notice of further transfer of fine order by virtue of section 222(5) of the Criminal Procedure (Scotland) Act 1995

Rule 20.9(2)

F190FORM 20.9-C

Form of notice to offender of transfer of fine order under section 222(1) of the Criminal Procedure (Scotland) Act 1995

Rule 20.9(3)

F191FORM 20.9A

Rule 20.9A

F192FORM 20.9AA

Rule 20.9AA

FORM 20.9B-A

Rule 20.9B(1)

FORM 20.9B-B

Rule 20.9B(5)

FORM 20.9C

Rule 20.9(1)

FORM 20.9D

Rule 20.9D(1)

FORM 20.10-A

Form of probation order made under section 228 of the Criminal Procedure (Scotland) Act 1995

Rule 20.10(1)

F193 F194FORM 20.10-B

Form of citation of probationer under section 232(1) or 233(1) of the Criminal Procedure (Scotland) Act 1995

Rule 20.10(2)

F195F196FORM 20.10-C

Form of citation of probationer under paragraph 5(1) of Schedule 6 to the Criminal Procedure (Scotland) Act 1995

Rule 20.10(3)

F197 F198 F199 F200F201FORM 20.10A

F202F203FORM 20.10B

Form of application under section 234A(6) of the Criminal Procedure (Scotland) Act 1995

Rule 20.10B

UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD

JUSTICE-CLERK AND LORDS COMMISSIONERS OF JUSTICIARY

[or UNTO THE HONOURABLE THE SHERIFF

OF (name of sheriffdom) AT (place)]

[or UNTO THE JUSTICES in the DISTRICT COURT

OF (name of district) AT (place)]

APPLICATION

Her Majesty’s Advocate [or

[A.B.] (address) [or Prisoner in the Prison of (place)]

APPLICANT

HUMBLY SHEWETH:

That a non-harassment order was made against [A.B.] on (date) in the High Court of Justiciary sitting [or in the sheriff court or in the district court] at (place) on (date) in terms of the non-harassment order annexed hereto,

That the applicant applies to the court in terms of section 234A(6) of the Act of 1995 to revoke [or vary] the non-harassment order for the following reasons:–

(here state reasons).
MAY IT THEREFORE PLEASE YOUR LORDSHIP[S] [OR THE COURT]:
1. (a)
  to [revoke the non-harassment order][vary the non-harassment order by (here state terms of variation of order sought)].
2. (b)
  or to do otherwise as to your Lordship[s] [OR to the court] shall seem proper.
IN RESPECT WHEREOF
(Signed)
Advocate Depute [or Procurator Fiscal]
On behalf of Her Majesty’s Advocate [or]
[Solicitor for [A.B.]
(Address and telephone number of solicitor)].

Note:

You must notify the clerk of Court within 14 days of the receipt of this application whether or not you intend to oppose it. Failure so to notify will result in the court disposing of the matter in your absence.

FORM 20.11-A

Form of supervised attendance order under section 235(1) of the Criminal Procedure (Scotland) Act 1995

Rule 20.11(1)

FORM 20.11-B

Form of supervised attendance order under section 236 of the Criminal Procedure (Scotland) Act 1995

Rule 20.11(2)

F204F205FORM 20.11-C

Form of citation under paragraph 5(3) of Schedule 7 to the Criminal Procedure (Scotland) Act 1995

Rule 20.11(3)

F206F207FORM 20.11-D

Form of citation under paragraph 4(1) of Schedule 7 to the Criminal Procedure (Scotland) Act 1995

Rule 20.11(4)

FORM 20.12-A

Form of community service order made under section 238 of the Criminal Procedure (Scotland) Act 1995

Rule 20.12(1)

F208 F209FORM 20.12-B

Form of citation of offender under section 239(4) or 240(3) of the Criminal Procedure (Scotland) Act 1995

Rule 20.12(2)

F210 F211FORM 20.12A-A

RESTRICTION OF LIBERTY ORDER

under section 245A(1) of the Criminal Procedure (Scotland) Act 1995

COURT:

DATE:

OFFENDER'S NAME, ADDRESS AND DATE OF BIRTH:

OFFENDER'S TELEPHONE NUMBER (if available):

(If a phone number is not available, specify how the number is to be provided).

OFFENCE FOR WHICH CONVICTED:

THE COURT, having convicted (name of offender) of (specify offence) and being satisfied that the most appropriate method of disposal is to make an order under subsection (1) of section 245A of the Criminal Procedure (Scotland) Act 1995;

AND having complied with any requirement imposed on it by subsection (6) of, and provided the offender with the explanation required by subsection (4) of, that section and obtained from him his agreement that he will comply with the requirements of the proposed order;

ORDERS that for (specify, as respects a day [or week], a period in that day [or week]) the offender shall be in (specify a place) [or that at (specify a time) [or during (specify a period)] the offender shall not be in (specify a place)].

[ORDERS that the offender comply with the electronic monitoring requirement in respect of (state the aspects of the disposal specified by the court) under the Management of Offenders (Scotland) Act 2019 as set out in the attached Form 71.1.]

(Signed)

Clerk of Court.

Date:

Note: (Name and address of monitor) has been designated by the court, under section 245B(2) of the Criminal Procedure (Scotland) Act 1995, as the person responsible for monitoring the offender’s compliance with this order.

I confirm that I understand the requirements of this order and will comply with them.

(Signed)
Offender.

F212 F213F214FORM 20.12A-B

Form of application under section 245E(1) of the Criminal Procedure (Scotland) Act 1995

UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD JUSTICE-CLERK AND LORDS COMMISSIONERS OF JUSTICIARY

[or Unto The Honourable The Sheriff of (name of sheriffdom)

At (place)]

[or Unto The Stipendiary Magistrates In The District Court Of (name of district) At (place)]

Application

(name of offender) (address) [or Prisoner

in the Prison of (place)]

[orname and address of applicant with responsibility for monitoring offender’s compliance with restriction of liberty order]

APPLICANT

HUMBLY SHEWETH

That a restriction of liberty order, a copy of which is annexed to this application, was made in respect of (name of offender) on (date) in the High Court of Justiciary sitting [ or in the sheriff court or in the district court] at (place).

That the applicant applies to the court in terms of subsection (1) of section 245E of the Criminal Procedure (Scotland) Act 1995 to revoke [or vary] the order for the following reason–

(statement of reason)
MAY IT THEREFORE PLEASE YOUR LORDSHIP[S] [OR THE COURT]:
1. (a)
  to [revoke the restriction of liberty order] [vary the restriction of liberty order by (statement of variation sought in terms of subsection (2) (a) of the said section 245E)],
or
1. (b)
  to do otherwise as to your Lordship[s] [or to the court] shall seem proper.
IN RESPECT WHEREOF
(Signed)
Offender
[or Solicitor for offender]
[or applicant with responsibility for monitoring compliance]
(Where a solicitor signs, the address and telephone number of the solicitor).

F215 F216F217FORM 20.12A-C

Form of citation of offender under section 245E(3) of the Criminal Procedure (Scotland) Act 1995

IN THE HIGH COURT OF JUSTICIARY

[or IN THE SHERIFF [or DISTRICT] COURT]

AT (place)

CITATION

To: (name and address of offender)

Date of citation: (date of citation or, if citation by post, the day after the date of posting)

YOU ARE HEREBY CITED to appear on (date) at (time) in the High Court of Justiciary [or Sheriff [or District] Court] at (address) because it appears to the court to be in the interests of justice that the restriction of liberty order made in respect of you on (date) should be varied or revoked.

IF YOU FAIL TO ATTEND COURT WITHOUT A LAWFUL EXCUSE THE COURT MAY ISSUE A WARRANT FOR YOUR ARREST.

(Signed)
Clerk of Court

F218 F219F220FORM 20.12A-D

Form of citation of offender under section 245F(1) of the Criminal Procedure (Scotland) Act 1995

IN THE HIGH COURT OF JUSTICIARY

[or IN THE SHERIFF [or DISTRICT] COURT]

AT (place)

CITATION

To: (name and address of offender)

Date of citation: (date of citation or, if citation by post, the day after the date of posting)

YOU ARE HEREBY CITED to appear on (date) at (time) in the High Court of Justiciary [or Sheriff [or District] Court] at (address) because it has been reported to the court that you have failed to comply with a requirement of your restriction of liberty order by (specify the failure alleged).

IF YOU FAIL TO ATTEND COURT WITHOUT A LAWFUL EXCUSE THE COURT MAY ISSUE A WARRANT FOR YOUR ARREST.

(Signed)
Clerk of Court

F221F222FORM F22320.12B-A

Form of drug treatment and testing order made under section 234B of the Criminal Procedure (Scotland) Act 1995

Rule 20.12B

F224F225FORM 20.12B-B

Form of citation of offender under section 234(E)(2) of the Criminal Procedure (Scotland) Act 1995

Rule 20.12B(2)

F226F227FORM 20.12B-C

Form of citation of offender under section 234G(1) of the Criminal Procedure (Scotland) Act 1995

Rule 20.12B(3)

F228FORM 20.12C–A

Form of community reparation order under section 245K(1) of the Criminal Procedure (Scotland) Act 1995

Rule 20.12C(1)

F229FORM 20.12C–B

Form of citation under section 245N(2)(b) of the Criminal Procedure (Scotland) Act 1995

Rule 20.12C(2)

F230FORM 20.12C–C

Form of citation under section 245P(3) of the Criminal Procedure (Scotland) Act 1995

Rule 20.12C(3)

FORM 20.18-A

Form of extract of custodial sentence following conviction on indictment, warrant of detention and return of sentence

Rule 20.18(1)

F231FORM 20.18-B

Forms of extract of sentence imposed in summary proceedings

Rule 20.18(2)

F232 F233 F234FORM 20.19-A

Form of application under section 34B(6) of the Road Traffic Offenders Act 1988

Rule 20.19(2)(a)

F235 F236 F237 F238FORM 20.19-B

F239Form of application under section 34B(8) of the Road Traffic Offenders Act 1988

Rule 20.19(3)(a)

F240FORM 20.20

Form of antisocial behaviour order under section 234AA of the Criminal Procedure (Scotland) Act 1995

ANTISOCIAL BEHAVIOUR ORDER

under section 234AA of the Criminal Procedure (Scotland) Act 1995

Rule 20.20

F241FORM 20.21

Form of order for lifelong restriction under section 210F of the Criminal Procedure (Scotland) Act 1995

F242F243FORM 20.22-A

FORM 20.22-B

FORM 20.22-C

FORM 20.22-D

FORM 20.22-E

F244FORM 20.23-A

FORM 20.23-B

FORM 20.23-C

FORM 20.23-D

F245FORM 21.1-A

Form of statement of uncontroversial evidence under section 258 of the Criminal Procedure (Scotland) Act 1995

Rule 21.1(1)

FORM 21.1-B

Form of docquet to be endorsed on document annexed to, but not described in, statement of uncontroversial evidence

Rule 21.1(2)

FORM 21.2

Form of notice of challenge under section 258(3) of the Criminal Procedure (Scotland) Act 1995

Rule 21.2

F246FORM 21.2A

Form of application under section 258(4A) of the Criminal Procedure (Scotland) Act 1995

Rule 21.2A

F247FORM 21.3

Form of notice under section 259(5) of the Criminal Procedure (Scotland) Act 1995

Rule 21.3

F248FORM 21.4

Form of certificate of authentication of a prior statement for the purposes of section 260(4) of the Criminal Procedure (Scotland) Act 1995

Rule 21.4

F249 F250F251FORM 21.5

Form of application under section 275(1) of the Criminal Procedure (Scotland) Act 1995

Rule 21.5

F252FORM 21.6–A

Form of notice of intention to rely on presumption as to identification under section 281A of the Criminal Procedure (Scotland) Act 1995

Rule 21.6(1)

FORM 21.6–B

Form of notice of challenge under section 281A(2) of the Criminal Procedure (Scotland) Act 1995

Rule 21.6(2)

F253 F254 F255 F256F257FORM 22.1

Form of vulnerable witness notice under section 271A(2) of the Criminal Procedure (Scotland) Act 1995

Rule 22.1(1)

F258F259FORM 22.1ZA

F260 F261 F262 F263F264FORM 22.1A

Rule 22.1A

F265F266FORM 22.2A

F267 F268 F269 F270 F271 F272 F273FORM 22.4

Form of application for review of arrangements for taking evidence under section 271D of the Criminal Procedure (Scotland) Act 1995

Rule 22.4

F274 F275FORM 22.7

Form of notice of prohibition of personal conduct of defence in certain cases involving child witnesses under the age of twelve under section 288E of the Criminal Procedure (Scotland) Act 1995

Rule 22.7

F276 F277 F278 F279FORM 22.8–A

Form of minute seeking prohibition of the personal conduct of defence by the accused under section 288F of the Criminal Procedure (Scotland) Act 1995

Rule 22.8(1)

F280 F281 F282FORM 22.8–B

Form of minute seeking prohibition of the personal conduct of defence by the accused under section 288F of the Criminal Procedure (Scotland) Act 1995

22.8(5)

F283 F284F285FORM 22.15

Form of application for leave for accused to be present during a commission under section 271I(3) of the Criminal Procedure (Scotland) Act 1995

Paragraph 2(4)

F286FORM 22A.1

F287FORM 22A.2

F288FORM 22A.3

FORM 23.1-A

Form of petition for issue of letter of request in High Court before indictment served

Rule 23.1(1)(a)

FORM 23.1-B

Form of petition for issue of letter of request where indictment served or in summary proceedings

Rule 23.1(1)(b)

FORM 23.1-C

Form of letter of request

Rule 23.1(2)

F289FORM 23.1-D

F290 F291F292FORM 23A.1-A

F293FORM 23A.1-B

Form of letter of request for evidence to be obtained by television link

F294FORM 23A.1-C

FORM 24.1-A

Form of petition for appointment of commissioner to examine a witness in High Court before indictment served

Rule 24.1(1)(a)

FORM 24.1-B

Form of petition for appointment of commissioner to examine a witness where indictment served or in summary proceedings

Rule 24.1(1)(b)

FORM 26.1-A

Form of certificate of authentication of document

Rule 26.1(1)(b)

F295FORM 26.1-B

Form of docquet certifying a document as one kept by a business or undertaking

Rule 26.1(2)

F296FORM 26.1-C

Form of certificate that statement not contained in business document

Rule 26.1(3)

FORM 27.2

Form of certificate under section 283(1), 284(1) or 285(2), (4) or (5) of the Criminal Procedure (Scotland) Act 1995

Rule 27.2

F297FORM 27.3

Form of notice in relation to certain evidential certificates

Rule 27.3

F298FORM 27.4

Form of notice under section 16A(4) of the Criminal Law (Consolidation) (Scotland) Act 1995

Rule 27.4

IN THE HIGH COURT OF JUSTICIARY [or IN THE SHERIFF COURT]

AT (place)

NOTICE

[A.B.] (address [or Prisoner in the Prison of (place)]

under

Section 16A(4) of the Criminal Law (Consolidation) (Scotland) Act 1995

To: (name of prosecutor, or co-accused)

I HEREBY GIVE NOTICE that under section 16A(4) of the Criminal Law (Consolidation) (Scotland) Act 1995 that on the facts as alleged with respect to the relevant conduct, the condition in section 16A(3)(r) [or (b)] of the Criminal Law (Consolidation) (Scotland) Act 1995 is not satisfied for the following reasons:–

(here set out reasons for regarding condition as unsatisfied)

I HEREBY REQUIRE (insert name and designation of prosecutor) to prove that the said condition is satisfied.

(Signed)

[A.B.]

[or Solicitor for [A.B.]]

(Address and telephone number of Solicitor)

F299FORM 27.5

Form of notice under section 16B(4) of the Criminal Law (Consolidation) (Scotland) Act 1995

F300 F301F302FORM 27A.1

Form of appeal against decision of sheriff on application for an order for recovery of documents under section 301A of the Criminal Procedure (Scotland) Act 1995

Rule 27A.1

FORM 28.1-A

Form of petition for order to hold identification parade in solemn proceedings before service of indictment under section 290(1) of the Criminal Procedure (Scotland) Act 1995

Rule 28.1(1)(b)(i)

F303FORM 28.1-B

Form of petition for order to hold identification parade where indictment served or in summary proceedings under section 290(1) of the Criminal Procedure (Scotland) Act 1995

Rule 28.1(1)(b)(ii)

F304 F305F306FORM 28.2

Form of application for order requiring accused to participate in identification parade under section 267B of the Criminal Procedure (Scotland) Act 1995

Rule 28.2

F307FORM 29.1-A

Form of petition to take precognition on oath before service of indictment under section 291(1) of the Criminal Procedure (Scotland) Act 1995

Rule 29.1(1)(b)(i)

F308 F309FORM 29.1-B

Form of petition to take precognition on oath where indictment served or in summary proceedings under section 291(1) of the Criminal Procedure (Scotland) Act 1995

Rule 29.1(1)(b)(ii)

FORM 29.3

Form of citation of person to attend a diet for taking his precognition on oath

Rule 29.3(1)

F310FORM 30.2-A

Form of endorsement of warrant of arrest under section 1(1) of the Backing of Warrants (Republic of Ireland) Act 1965

Rule 30.2(1)

F311FORM 30.2-B

Form of provisional warrant of arrest under section 4 of the Backing of Warrants (Republic of Ireland) Act 1965

Rule 30.2(2)

F312FORM 30.5

Form of consent to earlier return under section 3(1)(a) of the Backing of Warrants (Republic of Ireland) Act 1965

Rule 30.5(1)

F313FORM 31.5

F314 F315FORM 31.7

Form of appeal to High Court from the making of a reference to the European Court of Justice

Rule 31.7(3)

F316FORM 32.2

Form of application under section 49 of the Civic Government (Scotland) Act 1982

Rule 32.2(1)

F317FORM 34.3–A

F318FORM 34.3–B

F319F320FORM 34.3–C

F321F322FORM 34.3–D

FORM 34.5

Form of application seeking extension of time under section 31(4) or 113(4) of the Extradition Act 2003

Rule 34.5

FORM 34.6–A

Form of notice of consent to extradition to category 1 territory

Rule 34.6(a)

F323FORM 34.6–B

Form of notice of consent to extradition to category 2 territory

Rule 34.6(b)

FORM 34.7–A

Form of notice of request under section 54(1) of the Extradition Act 2003

Rule 34.7(1)

FORM 34.7–B

Form of notice of request under section 56(1) of the Extradition Act 2003

Rule 34.7(2)

F324F325FORM 36.2

Form of notice to accompany a citation being effected or document being served outside the United Kingdom

Rule 36.2

F326FORM 36.4–A

Form of application for request for assistance under section 7(1) of the Crime (International Co-operation) Act 2003

Rule 36.4

F327FORM 36.4–B

Request for assistance under section 7 of the Crime (International Co-operation) Act 2003

F328FORM 36.4–C

F329FORM 36.8–A

Form of warrant to cite a person to proceedings before a nominated court

WARRANT FOR CITATION

Rule 36.8

F330FORM 36.8–B

Form of postal citation to proceedings before a nominated court

F331FORM 36.8–C

Form of reply slip to be completed and returned by person cited to appear before a nominated court

F332FORM 36.8–D

Form of personal citation for proceedings before a nominated court

F333FORM 36.9B

Form of warrant under section 22(1) of the Crime (International Co-operation) Act 2003

FORM 36.9C

Form of application for release of evidence under section 25(1) of the Crime (International Co-operation) Act 2003

F334FORM 37.4

Form of petition under section 25 or 26 of the Proceeds of Crime (Scotland) Act 1995

Rule 37.4

UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, THE LORD JUSTICE CLERK and LORDS COMMISSIONERS OF JUSTICIARY

[or UNTO THE HONOURABLE THE SHERIFF OF (name of sheriffdom)

AT (place)]

PETITION

[A.B.] (address)

PETITIONER

HUMBLY SHEWETH:

That the Petitioner is (name) and resides at (address).

That on (date) the court in the case of Her Majesty’s Advocate [or Procurator Fiscal] against (name and address) made an order under section 21 of the Proceeds of Crime (Scotland) Act 1995 forfeiting (specify property and, for heritable property in Scotland, state conveyancing description (unless already stated in suspended forfeiture order) and date and county of recording of a certified copy of the suspended forfeiture order in the General Register of Sasines or, as the case may be, the Title Number under which a certified copy of the suspended forfeiture order was registered in the Land Register of Scotland).

That (state the relevant facts in support of grant of order).

MAY IT THEREFORE please your Lordship(s):

(1)

to appoint intimation of this petition to be made to (specify);

(2)

to appoint parties to be heard thereon on the earliest practicable date thereafter; and

(3)

thereafter, on being duly satisfied in terms of section 25(1)(a) [or section 26(1)(a)] of the Proceeds of Crime (Scotland) Act 1995, to make an order under section 25 [ or section 26] of that Act; and to do further or otherwise as to your Lordship(s) shall seem proper.

ACCORDING TO JUSTICE, etc
(Signed)
Petitioner
[or Solicitor for Petitioner]
(Address and telephone number of Solicitor)

F335FORM 37.5

Form of note of appeal under section 27 of the Proceeds of Crime (Scotland) Act 1995

Rule 37.5

IN THE HIGH COURT OF JUSTICIARY

[or IN THE SHERIFF COURT]

(place)

NOTE OF APPEAL

under the Proceeds of Crime (Scotland) Act 1995

[A.B.] (address)

APPELLANT

against

[C.D.] (address)

RESPONDENT

The appellant appeals to the High Court of Justiciary against the refusal of an application under section 25(1) [or the granting of an application under section 26(1)] of the Proceeds of Crime (Scotland) Act 1995 in the above court on (date).

The ground(s) of appeal is (are):

(here set out the ground(s))
(Signed)
Appellant
[or Solicitor for appellant]
(Address and telephone number of solicitor)

(Place and date)

F336FORM 37AA.2B-A

F337FORM 37AA.2B–B

F338FORM 37AA.2C–A

F339FORM 37AA.2C–B

F340FORM 37AA.2C–C

F341FORM 37AA.2D–A

F342FORM 37AA.2D–B

F343FORM 37AA.2D–C

F344FORM 37AA.5D-A

Form of minute of pre-determination hearing meeting

F345 F346FORM 37AA.5D-B

Form of Timetable Order

F347FORM 37AA.11-A

F348FORM 37AA.11-B

F349FORM 37A

Form of petition to sheriff under section 7(3) of the Knives Act 1997

Rule 37A

UNTO THE HONOURABLE THE SHERIFF OF (name of sheriffdom)

AT (place)

PETITION

[A.B.] (address)

PETITIONER

HUMBLY SHEWETH:

That the petitioner is (name) and resides at (address).

That on (date) the court in the case (Procurator Fiscal) against (name and address), accused, made an Order in terms of section 6 of the Knives Act 1997 forfeiting (specify property forfeited).

That (state facts relevant to application).

MAY IT THEREFORE please your Lordship:

(1)

to appoint intimation of this petition to be made to (specify).

(2)

to appoint parties to be heard thereon on the earliest practicable date thereafter; and

(3)

thereafter, on being duly satisfied, to make an order in terms of section 7(3) of the Knives Act 1997; and to do further or otherwise as Your Lordship shall deem proper.

ACCORDING TO JUSTICE, etc.

(Signed)
[Solicitor for petitioner]
(Address and telephone number of solicitor)

F350 F351 F352 F353F354FORM 38

Form of application for transfer of rights of appeal of deceased person

Rule 38.

UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD JUSTICE CLERK and LORDS COMMISSIONERS OF JUSTICIARY

APPLICATION

for

TRANSFER OF RIGHTS OF APPEAL OF DECEASED PERSON

[A.B.]

(address)

APPLICANT
under
section 303A of the Criminal Procedure (Scotland) Act 1995
HUMBLY SHEWETH:—

That on (date) [C.D.] (address) was convicted in the High Court of Justiciary [or sheriff court or district court] at (place) of (specify offence) and sentenced to (specify sentence).

That [C.D.] did not institute any appeal in relation to that conviction or sentence [or state details of any appeal instituted by [C.D.]].

That [C.D.] died on (date) at (place).

That the applicant is executor of [C.D.] conform to attached copy confirmation [or has a legitimate interest (specify nature of interest and attach supporting documents)].

That the applicant has served a copy of this application on the Crown Agent.

MAY IT THEREFORE please your Lordships under section 303A of the Criminal Procedure (Scotland) Act 1995 to authorise the applicant to institute any appeal in relation to that conviction which [C.D.] could have instituted [or to continue the appeal instituted by [C.D.]].
ACCORDING TO JUSTICE, etc.
(Signed)
[Solicitor for applicant]
(Address and telephone number of solicitor)