re: information #: conditional sentence

Re: ____________________________________ Information #: _____________________________

CONDITIONAL SENTENCE

Recommended wording for CSO conditions with local variants.

(updated Sept. 4, 2019)

1. keep the peace and be of good behaviour.

2. appear before the court when required to do so by the court.

3. report to a supervisor within two working days after today’s date and after that when required and in the

manner directed by the supervisor or designate.

4. remain within Saskatchewan unless written permission to go outside Saskatchewan is obtained from the

court or supervisor.

5. notify the court or supervisor in advance of any change of name or address and promptly notify the court

or supervisor of any change of employment or occupation.

Address Information

___6 immediately give the court your current address and phone number if available:

____________________________________________________________________________

Report to Supervisor

__7BL2 report to a supervisor at the Black Lake Band Office, #1 Boneleye Road, Black Lake,

Saskatchewan, ph. (306) 284-0605, or at 1328 La Ronge Avenue, La Ronge, Saskatchewan, ph.

(306) 425-4347 (toll free 1-888-228-2275) within two working days and after that as told to do

so by your supervisor or designate.

__7BL3 report to a supervisor at the Black Lake Band Office, #1 Boneleye Road, Black Lake,

Saskatchewan, ph. (306) 284-0605, or at 1328 La Ronge Avenue, La Ronge, Saskatchewan, ph.

(306) 425-4347 (toll free 1-888-228-2275) within two working days of your release from jail and

after that as told to do so by your supervisor or designate.

___7BU report to a supervisor at Upper Floor, Village Office, Buffalo Narrows, Saskatchewan, ph. (306)

235-1776 (toll free 1-877-826-3819) ☐ in person ☐ by phone ☐ immediately ☐ within

___________ working days of your release from jail ☐ by _________________________ and


___7BU2 report to a supervisor at Upper Floor, Village Office, Buffalo Narrows, Saskatchewan, ph. (306)

235-1776 (toll free 1-877-826-3819) within two working days and after that as told to do so by

your supervisor or designate.

___7BU3 report to a supervisor at Upper Floor, Village Office, Buffalo Narrows, Saskatchewan, ph. (306)

235-1776 (toll free 1-877-826-3819) within two working days of your release from jail and after

that as told to do so by your supervisor or designate.

___7CT report to a supervisor at 298 - 1st Street East, Creighton, Saskatchewan, ph. (306) 688-8810 (toll

free 1-866-948-8810) ☐ in person ☐ by phone ☐ immediately ☐ within ___________

working days of your release from jail ☐ by _________________________ and after that as

told to do so by your supervisor or designate.

Recommended Wording for CSO Conditions

(to April 12, 2019)

2

___7CT2 report to a supervisor at 298 - 1st Street East, Creighton, Saskatchewan, ph. (306) 688-8810 (toll

free 1-866-948-8810) within two working days and after that as told to do so by your supervisor

or designate.

___7CT3 report to a supervisor at 298 - 1st Street East, Creighton, Saskatchewan, ph. (306) 688-8810 (toll

free 1-866-948-8810) within two working days of your release from jail and after that as told to

do so by your supervisor or designate.

___7ES report to a supervisor at 202-1219 5th Street, Estevan, Saskatchewan, ph. (306) 637-4538 ☐ in

person ☐ by phone ☐ immediately ☐ within ___________ working days of your release

from jail ☐ by _________________________ and after that as told to do so by your supervisor

or designate.

___7ES2 report to a supervisor at 202-1219 5th Street, Estevan, Saskatchewan, ph. (306) 637-4538 within

two working days and after that as told to do so by your supervisor or designate.

___7ES3 report to a supervisor at 202-1219 5th Street, Estevan, Saskatchewan, ph. (306) 637-4538 within

two working days of your release from jail and after that as told to do so by your supervisor or

designate.

___7LL report to a supervisor at Provincial Building, La Loche, Saskatchewan, ph. toll free 1-877-826-

3819 ☐ in person ☐ by phone ☐ immediately ☐ within ___________ working days of

your release from jail ☐ by _________________________ and after that as told to do so by


___7FQ report to a probation officer at 177 Segwun Avenue in Fort Qu’Appelle, Saskatchewan, ph. (306)



after that as told to do so by your probation officer or designate.

___7FQ2 report to a probation officer at 177 Segwun Avenue in Fort Qu’Appelle, Saskatchewan, ph. (306)


your probation officer or designate.

___7FQ3 report to a probation officer at 177 Segwun Avenue in Fort Qu’Appelle, Saskatchewan, ph. (306)


that as told to do so by your probation officer or designate.

___7LL2 report to a supervisor at Provincial Building, La Loche, Saskatchewan, ph. toll free 1-877-826-

3819 within two working days and after that as told to do so by your supervisor or designate.

___7LL3 report to a supervisor at Provincial Building, La Loche, Saskatchewan, ph. toll free 1-877-826-

3819 within two working days of your release from jail and after that as told to do so by your

supervisor or designate.

___7LM report to a supervisor at 4815 - 50th Street, Lloydminster, Saskatchewan, ph. (306) 825-6472 (toll


(to April 12, 2019)

3

free 1-877-825-6472) ☐ in person ☐ by phone ☐ immediately ☐ within ___________



__7LM2 report to a supervisor at 4815 - 50th Street, Lloydminster, Saskatchewan, ph. (306) 825-6472 (toll


or designate.

___7LM3 report to a supervisor at 4815 - 50th Street, Lloydminster, Saskatchewan, ph. (306) 825-6472 (toll



___7LR report to a supervisor at 1328 La Ronge Avenue, La Ronge, Saskatchewan, ph. (306) 425-4347

(toll free 1-888-228-2275) ☐ in person ☐ by phone ☐ immediately ☐ within



__7LR2 report to a supervisor at 1328 La Ronge Avenue, La Ronge, Saskatchewan, ph. (306) 425-4347

(toll-free 1-888-228-2275) within two working days and after that as told to do so by your


___7LR3 report to a supervisor at 1328 La Ronge Avenue, La Ronge, Saskatchewan, ph. (306) 425-4347

(toll free 1-888-228-2275) within two working days of your release from jail and after that as


___7MF report to a supervisor at 107 Crawford Avenue East, Melfort, Saskatchewan, ph. (306) 752-6240

(toll-free 1-888-752-6204) ☐ in person ☐ by phone ☐ immediately ☐ within ___________

working days of your release from jail ☐ by _________________________ and after that as told

to do so by your supervisor or designate.

__7MF2 report to a supervisor at, 107 Crawford Avenue East, Melfort, Saskatchewan, ph. (306) 752-6240



___7MF3 report to a supervisor at 107 Crawford Avenue East, Melfort, Saskatchewan, ph. (306) 752-6240

(toll-free 1-888-752-6204) within two working days of your release from jail and after that as


___7MJ report to a supervisor at 216-110 Ominica Street West, Moose Jaw, Saskatchewan, ph. (306)

694-3649 ☐ in person ☐ by phone ☐ immediately ☐ within ___________ working days

of your release from jail ☐ by _________________________ and after that as told to do so by


__7MJ2 report to a supervisor at 216-110 Ominica Street West, Moose Jaw, Saskatchewan, ph. (306)

694-3649 within two working days and after that as told to do so by your supervisor or designate.

___7MJ3 report to a supervisor at 216-110 Ominica Street West, Moose Jaw, Saskatchewan, ph. (306)

694-3649 within two working days of your release from jail and after that as told to do so by


(to April 12, 2019)

4


___7ML report to a supervisor at 101 Railway Place, Meadow Lake, Saskatchewan, ph. (306) 236-7527

(toll-free 1-855-835-8305) ☐ in person ☐ by phone ☐ immediately ☐ within ___________



___7ML2 report to a supervisor at 101 Railway Place, Meadow Lake, Saskatchewan, ph. (306) 236-7527



___7ML3 report to a supervisor at 101 Railway Place, Meadow Lake, Saskatchewan, ph. (306) 236-7527

(toll-free 1-855-835-8305) within two working days of your release from jail and after that as


___7NB report to a supervisor at 1146 102nd Street, North Battleford, Saskatchewan, ph. (306) 446-7540

(toll free 1-866-433-5635) ☐ in person ☐ by phone ☐ immediately ☐ within ___________



___ 7NB2 report to a supervisor at 1146 102nd Street, North Battleford, Saskatchewan, ph. (306) 446-7540

(toll free 1-866-433-5635) within two working days and after that as told to do so by your


___7NB3 report to a supervisor at 1146 102nd Street, North Battleford, Saskatchewan, ph. (306) 446-7540

(toll free 1-866-433-5635) within two working days of your release from jail and after that as



(toll free 1-866-433-5635) in person immediately and after that as told to do so by your



(toll free 1-866-433-5635) by phone within two working days and after that as told to do so by



(toll free 1-866-433-5635) by phone within two working days of your release from jail and after


___ 7NP2 report to a supervisor at 210 1st Street East, Nipawin, Saskatchewan, ph. (306) 862-1855 (toll


or designate.

___7NP3 report to a supervisor at 210 1st Street East, Nipawin, Saskatchewan, ph. (306) 862-1855 (toll





(to April 12, 2019)

5

free 1-877-862-1850) in person immediately and after that as told to do so by your supervisor or

designate.


free 1-877-862-1850) by phone within two working days and after that as told to do so by your



free 1-877-862-1850) by phone within two working days of your release from jail and after that

as told to do so by your supervisor or designate.

___7PA report to a supervisor at 12th Floor, 800 Central Avenue, Prince Albert, Saskatchewan, ph. (306)




__7PA2 report to a supervisor at 12th Floor, 800 Central Avenue, Prince Albert, Saskatchewan, ph. (306)



___7PA3 report to a supervisor at 12th Floor, 800 Central Avenue, Prince Albert, Saskatchewan, ph. (306)



___7RG report to a supervisor at 2nd Floor, 1942 Hamilton Street, Regina, Saskatchewan, ph. (306) 787-

3808 (toll free 1-888-586-6363) ☐ in person ☐ by phone ☐ immediately ☐ within

________ working days of your release from jail ☐ by _________________________ and


__7RG2 report to a supervisor at 2nd Floor, 1942 Hamilton Street, Regina, Saskatchewan, ph. (306) 787-

3808 (toll free 1-888-586-6363) within two working days and after that as told to do so by your


___7RG3 report to a supervisor at 2nd Floor, 1942 Hamilton Street, Regina, Saskatchewan, ph. (306) 787-

3808 (toll free 1-888-586-6363) within two working days of your release from jail and after that

as told to do so by your supervisor or designate.

___ 7RG4 report to a supervisor at 2nd Floor, 1942 Hamilton Street, Regina, Saskatchewan, ph. (306) 787-

3808 (toll free 1-888-586-6363) in person immediately and after that as told to do so by your


___7ST report to a supervisor at Room 129, Main Floor, 122 3rd Avenue North, Saskatoon,

Saskatchewan, ph. (306) 933-6324 ☐ in person ☐ by phone ☐ immediately ☐ within



__7ST2 report to a supervisor at Room 129, Main Floor, 122 3rd Avenue North, Saskatoon,


(to April 12, 2019)

6

Saskatchewan, ph. (306) 933-6324 within two working days and after that as told to do so by


___7ST3 report to a supervisor at Room 129, Main Floor, 122 3rd Avenue North, Saskatoon,

Saskatchewan, ph. (306) 933-6324 within two working days of your release from jail and after


___7SC report to a supervisor at #305 - 350 Cheadle Street West, Swift Current, Saskatchewan, ph. (306)

778-8236 ☐ in person ☐ by phone ☐ immediately ☐ within __________ working days of

your release from jail ☐ by _________________________ and after that as told to do so by


__7SC2 report to a supervisor at #305 - 350 Cheadle Street West, Swift Current, Saskatchewan, ph. (306)

778-8236 within two working days and after that as told to do so by your supervisor or designate.

___7SC3 report to a supervisor at #305 - 350 Cheadle Street West, Swift Current, Saskatchewan, ph. (306)

778-8236 within two working days of your release from jail and after that as told to do so by


___7WU report to a supervisor at 110 Souris Avenue, Weyburn, Saskatchewan, ph. (306) 848-2473 ☐

in person ☐ by phone ☐ immediately ☐ within ___________ working days of your release


or designate.

__7WU2 report to a supervisor at 110 Souris Avenue, Weyburn, Saskatchewan, ph. (306) 848-2473

within two working days and after that as told to do so by your supervisor or designate.

___7WU3 report to a supervisor at 110 Souris Avenue, Weyburn, Saskatchewan, ph. (306) 848-2473

within two working days of your release from jail and after that as told to do so by your


___7YK report to a supervisor at 72 Smith Street East, Yorkton, Saskatchewan, ph. (306) 786-1475 ☐

in person ☐ by phone ☐ immediately ☐ within ___________ working days of your release


or designate.

___7YK2 report to a supervisor at 72 Smith Street East, Yorkton, Saskatchewan, ph. (306) 786-1475 within

two working days and after that as told to do so by your supervisor or designate.

___7YK3 report to a supervisor at 72 Smith Street East, Yorkton, Saskatchewan, ph. (306) 786-1475 within

two working days of your release from jail and after that as told to do so by your supervisor or

designate.

Residence

___ 8 ☐ for the first _______________ of this order, ☐ live with

_______________________________________________________________ ☐ live at


(to April 12, 2019)

7

_________________________________________________________ ☐ live at a residence

approved by the supervisor ☐ and not change that residence without the prior [written]

permission of the supervisor or designate or the court ☐ or a member of the

________________ RCMP, ☐ except_____________________________________________.

___8.1 live at ___________________________________ and not change that residence without

the prior written permission of your supervisor or designate or the court.

___8.2 live at a residence approved by your supervisor and not change that residence without the

prior written permission of your supervisor or designate or the court.

___8.3 for the first _____ months of this order, live at

___________________________________ and not change that residence without the prior

written permission of your supervisor or designate or the court.

___8.4 for the first _____ months of this order, live at a residence approved by your supervisor

and not change that residence without the prior written permission of your supervisor or

designate or the court.

___8.5 live at ___________________________________ and not change that residence without the

prior written permission of your supervisor or designate or the court or a member of the

_______________________ Police Service.

___8.6 live at a residence approved by your supervisor and not change that residence without the prior

written permission of your supervisor or designate or the court or a member of the

_______________________ Police Service.

___8.7 for the first _____ months of this order, live at ____________________________ and not

change that residence without the prior written permission of your supervisor or designate or the

court or a member of the _______________________ Police Service.

___8.8 for the first _____ months of this order, live at a residence approved by your supervisor and not

change that residence without the prior written permission of your supervisor or designate or the

court or a member of the _______________________ Police Service.

Curfew

___ 9 ☐ for the first _____________ of this order, ☐ stay inside your approved residence ☐

from ________ p.m. each night to __________ a.m. the next morning ☐ 24 hours a day, unless

you have the prior [written] permission of your supervisor or designate or the court ☐ or a

member of the ______________________ RCMP to be elsewhere ☐ except

_______________________________________________________ ☐ and come to the door

of your approved residence when asked to do so by a supervisor or designate or police officer

who may be checking the residence and curfew conditions of this order.

___9.1 stay inside your approved residence from ____ p.m. each night to ____ a.m. the next

morning, unless you have the prior written permission of your supervisor or designate or the


(to April 12, 2019)

8

court to be elsewhere. Come to the door of your approved residence when asked to do so by a

supervisor or designate or police officer who may be checking the residence and curfew

conditions of this order.

___9.2 for the first ______ months of this order, stay inside your approved residence from ____

p.m. each night to ____ a.m. the next morning, unless you have the prior written permission of

your supervisor or designate or the court to be elsewhere. Come to the door of your approved

residence when asked to do so by a supervisor or designate or police officer who may be

checking the residence and curfew conditions of this order.

___9.3 stay inside your approved residence 24 hours a day unless you have the prior written

permission of your supervisor or designate or the court to be elsewhere. Come to the door of

your approved residence when asked to do so by a supervisor or designate or police officer who

may be checking the residence and curfew conditions of this order.

___9.4 for the first ____ months of this order, stay inside your approved residence 24 hours a

day unless you have the prior written permission of your supervisor or designate or the court to

be elsewhere. Come to the door of your approved residence when asked to do so by a supervisor

or designate or police officer who may be checking the residence and curfew conditions of this

order.

Curfew (where RCMP may approve absence)

___9.5 stay inside your approved residence from ____ p.m. each night to _____ a.m. the next

morning unless you have the prior written permission of your supervisor or designate or the court

or a member of the __________________ RCMP to be elsewhere. Come to the door of your

approved residence when asked to do so by a supervisor or designate or police officer who may

be checking the residence and curfew conditions of this order.

___9.6 for the first _____ months of this order, stay inside your approved residence from ____

p.m. each night to _____ a.m. the next morning unless you have the prior written permission of

your supervisor or designate or the court or a member of the __________________ RCMP to be

elsewhere. Come to the door of your approved residence when asked to do so by a supervisor or

designate or police officer who may be checking the residence and curfew conditions of this

order.

___9.7 stay inside your approved residence 24 hours a day unless you have the prior written

permission of your supervisor or designate or the court or a member of the

__________________ RCMP to be elsewhere. Come to the door of your approved residence

when asked to do so by a supervisor or designate or police officer who may be checking the

residence and curfew conditions of this order.

___9.8 for the first _____ months of this order, stay inside your approved residence 24 hours a

day unless you have the prior written permission of your supervisor or designate or the court or a

member of the __________________ RCMP to be elsewhere. Come to the door of your

approved residence when asked to do so by a supervisor or designate or police officer who may

be checking the residence and curfew conditions of this order.

Curfew (with separate weekend hours)


(to April 12, 2019)

9

___9.9 stay inside your approved residence from ____ p.m. each night to ____ a.m. the next

morning from Sunday night to Friday morning and from ____ p.m. each night to ____ a.m. the

next morning from Friday night to Sunday morning, unless you have the prior written permission

of your supervisor or designate or the court to be elsewhere. Come to the door of your approved

residence when asked to do so by a supervisor or designate or police officer who may be

checking the residence and curfew conditions of this order.

Curfew Only

___9.10 stay inside your approved residence from ____ p.m. each night to ____ a.m. the next morning,

unless you have the prior written permission of your supervisor or designate or the court to be

elsewhere. ___9.11 for the first ______ months of this order, stay inside your approved residence from ____ p.m.

each night to ____ a.m. the next morning, unless you have the prior written permission of your

supervisor or designate or the court to be elsewhere. ___9.12 stay inside your approved residence 24 hours a day unless you have the prior written permission

of your supervisor or designate or the court to be elsewhere.

___ 9.13 for the first ______ months of this order, stay inside your approved residence 24 hours a day

unless you have the prior written permission of your supervisor or designate or the court to be

elsewhere.

Curfew Only (where RCMP may approve absence)

___9.14 stay inside your approved residence from ____ p.m. each night to _____ a.m. the next morning

unless you have the prior written permission of your supervisor or designate or the court or a

member of the __________________ RCMP to be elsewhere.

___9.15 for the first _____ months of this order, stay inside your approved residence from ____ p.m. each

night to _____ a.m. the next morning unless you have the prior written permission of your

supervisor or designate or the court or a member of the __________________ RCMP to be

elsewhere.

___9.16 stay inside your approved residence 24 hours a day unless you have the prior written permission

of your supervisor or designate or the court or a member of the __________________ RCMP to

be elsewhere.

___9.17 for the first _____ months of this order, stay inside your approved residence 24 hours a day

unless you have the prior written permission of your supervisor or designate or the court or a

member of the __________________ RCMP to be elsewhere.

Come to the Door

___9.18 come to the door of your approved residence when asked to do so by a supervisor or designate or

police officer who may be checking the residence and curfew conditions of this order.


(to April 12, 2019)

10

Electronic Monitoring

___10 enrol in the Electronic Monitoring Program and comply with the Electronic Monitoring

Program Rules as told to do so by your supervisor ❑ for the first _______ (months) of this order

❑ for the full length of this order. ____ Accused consented

___10.1 enrol in the Electronic Monitoring Program and comply with the Electronic Monitoring Program

Rules as told to do so by your supervisor for the first _____ months of this order.

___10.2 enrol in the Electronic Monitoring Program and comply with the Electronic Monitoring Program

Rules as told to do so by your supervisor for the full length of this order.

___11 come to the door of your approved residence when asked to do so by a supervisor or

designate or police officer and permit them entry into your approved residence to check

equipment operation.

Travel Restrictions

___ 12 not be more than __________ km from your approved residence unless you have the

prior written permission of your supervisor or designate ☐ or _________________________ or

except _________________________________________________________________.

___12.1 not be more than ____ km from your approved residence unless you have the prior written

permission of your supervisor or designate.

___ 13 not be in _____________________________________ unless you have the prior written

permission of the supervisor or designate ☐ or ________________________________ or

except ________________________________________________.

___ 13.1 not be in _____________________________________ unless you have the prior written

permission of your supervisor or designate.

___13.2 not be within _____ km of ______________________________ except for the purpose of

attending court.

No Alcohol or Drugs

___ 14 ☐ not possess or consume ☐ alcohol ☐ or drugs that have not been prescribed for you by a

medical doctor ☐ and not enter or be in any place in which the main purpose is the sale of

alcohol, such as bars or liquor stores, except

___________________________________________________.

___14.1 not possess or consume alcohol or drugs that have not been prescribed for you by a medical

doctor and not enter or be in any place in which the main purpose is the sale of alcohol, such as

bars or liquor stores.

___14.2 not possess or consume alcohol and not enter or be in any place in which the main purpose is the

sale of alcohol, such as bars or liquor stores.


(to April 12, 2019)

11

___14.3 not possess or consume alcohol.

___14.4 not possess or consume drugs that have not been prescribed for you by a medical doctor.

___14.5 not enter or be in any place in which the main purpose is the sale of alcohol, such as bars or

liquor stores.

___14.6 not possess or consume alcohol, cannabis or drugs that have not been prescribed for you by a

medical doctor and not enter or be in any place in which the main purpose is the sale of cannabis

or alcohol, such as bars, liquor stores or cannabis stores.

Breath Tests

___15 provide suitable samples of your breath for testing upon the request of a police officer

who has reasonable grounds to ❑ believe ❑ suspect that you are in breach of a condition of this

order regarding the consumption of alcohol. ___ Accused consented

___15.2 provide suitable samples of your breath for testing upon the request of a police officer who has

reasonable grounds to suspect that you are in breach of a condition of this order regarding the

consumption of alcohol.

Addictions Programming

___ 16 participate in an assessment and complete programming for addictions, which may include: ☐

in-patient ☐ and out-patient treatment, as told to do so by your supervisor. ____Accused

consented

___ 16.1 participate in assessments and complete programming for addictions, which may include in-

patient and out-patient treatment, as told to do so by your supervisor.

Other Programming

___ 17 participate in assessment(s) and complete programming for:

___ sexual offending ___ domestic

violence

___ anger management ___ mental

health concerns or cognitive challenges

___ personal counselling ☐ for _________________________________________________

as told to do so by your supervisor. ____Accused consented

___17.1 participate in assessments and complete programming for anger management or domestic

violence as told to do so by your supervisor.

___17.2 participate in assessments and complete programming for personal counselling as told to do so

by your supervisor.

___17.3 participate in assessments and complete programming for anger management, domestic violence

or personal counselling as told to do so by your supervisor.


(to April 12, 2019)

12

___17.4 participate in assessments and complete programming for mental health concerns or learning

challenges as told to do so by your supervisor.

___17.5 participate in assessments and complete programming for sexual offending as told to do so by

your supervisor.

___18 see a medical doctor, psychiatrist, and/or psychologist as told to do so by your supervisor,

and follow directions as to appointments, counselling, treatment and prescriptions. You shall

agree to the release of information about appointment times and prescriptions to your supervisor.

____ Accused consented.

No Contact

___ 19 have no contact of any kind in any way, directly or indirectly, with

_________________________________________________________ ☐ and not be within

_________________________________ of the listed person(s) ☐ if

________________________________________________________________. However, you

may have contact through a lawyer or ☐ ___________________________________.

___19.1 have no contact of any kind in any way, directly or indirectly, with ______________________

except through a lawyer.

___19.2 have no contact of any kind in any way, directly or indirectly, with

_________________________________________.

___19.3 have no contact of any kind in any way, directly or indirectly, with _______________________

if you have alcohol in your body.


except through an adult third party approved in writing by your supervisor to arrange child

access.


except through an adult third party to arrange child access.

___ 19.8 not refer to _____________________ in any way, directly or indirectly, while using electronic

social media.

____19.9 have no contact of any kind in any way, directly or indirectly, with [named person] except

through a lawyer or while in a courtroom presided over by a Queen’s Bench Justice.

____19.10 have no contact of any kind in any way, directly or indirectly, with [named person] except

through an adult third party approved in writing by your probation officer or pursuant to a

Queen’s Bench order to arrange child access provided that at the time of the making of the order

the Justice had a copy of this undertaking/ recognizance.


(to April 12, 2019)

13

Not Be At

___ 20 not be ☐ at ☐ within _____________________of the residence, workplace or place of

education of _________________________________________________ except

______________________________________________________________.

___20.1 not be at the residence, workplace or place of education of __________________________.

Community Service

___ 21 complete ___________ hours of community service work by

______________________________, as told to do so by your supervisor.

Restitution

___22ES make restitution by paying to the Provincial Court at 1016 4th Street, Estevan, SK., S4A 0W5

$_______________ in trust for _________________________________ ☐ on or before

______________________ ☐ to be paid in equal amounts of $_____________, the first to be

paid on or before the _______ day of ___________________ 201___, and all payments after that

to be paid on or before the same day of each month after that until paid in full.

___22ES1 make restitution by paying to the Provincial Court at 1016 4th Street, Estevan, SK., S4A 0W5,

$_______ in trust for ____________________________ on or before

_____________________________________, 201___.

___22ES2 make restitution by paying to the Provincial Court at 1016 4th Street, Estevan, SK., S4A 0W5,

$_______ in trust for __________________ to be paid in equal payments of $_______, the first

payment to be paid on or before the ____ day of ____________________, 201__, and all

payments after that to be paid on or before the same day of each month after that until paid in

full.

___22LM make restitution by paying to the Provincial Court at 4815 50th Street, Lloydminster, SK., S9V

0M8, $_______________ in trust for _________________________________ ☐ on or before




__22LM1 make restitution by paying to the Provincial Court at 4815 50th Street, Lloydminster, SK., S9V

0M8, $_______ in trust for ____________________________ on or before

______________________________________, 201___.

___22LM2 make restitution by paying to the 4815 50th Street, Lloydminster, SK., S9V 0M8, $_______ in

trust for __________________ to be paid in equal payments of $_______, the first payment to be

paid on or before the ____ day of ____________________, 201__, and all payments after that to

be paid on or before the same day of each month after that until paid in full.


(to April 12, 2019)

14

___22LR make restitution by paying to the Provincial Court at 1320 La Ronge Avenue, Box 5000, La

Ronge, SK., S0J 1L0, $_______________ in trust for _________________________________

☐ on or before ______________________ ☐ to be paid in equal amounts of

$_____________, the first to be paid on or before the _______ day of ___________________

201___, and all payments after that to be paid on or before the same day of each month after that

until paid in full.

___22LR1 make restitution by paying to the Provincial Court at 1320 La Ronge Avenue, Box 5000, La

Ronge, SK, S0J 1L0, $_______ in trust for ____________________________ on or before

_______________________________________, 201___.

___22LR2 make restitution by paying to the Provincial Court at 1320 La Ronge Avenue, Box 5000, La

Ronge, SK, S0J 1L0, $_______ in trust for __________________ to be paid in equal payments

of $_______, the first payment to be paid on or before the ____ day of ____________________,

201__, and all payments after that to be paid on or before the same day of each month after that

until paid in full.

___22MF make restitution by paying to the Provincial Court at107 Crawford Avenue East, Box 4480,

Melfort, SK., S0E 1A0, $_______________ in trust for _________________________________




until paid in full.

___22MF1 make restitution by paying to the Provincial Court at 107 Crawford Avenue East, Box 4480,

Melfort, SK., S0E 1A0, $_______ in trust for ____________________________ on or before

_______________________________________, 201___.

___22MF2 make restitution by paying to the Provincial Court at 107 Crawford Avenue East, Box 4480,

Melfort, SK., S0E 1A0 , $_______ in trust for __________________ to be paid in equal

payments of $_______, the first payment to be paid on or before the ____ day of

____________________, 201__, and all payments after that to be paid on or before the same day

of each month after that until paid in full.

___22MJ make restitution by paying to the Provincial Court at 110 Ominica Street West, Moose Jaw, SK.,

S6H 6V2, $_______________ in trust for _________________________________ ☐ on or

before ______________________ ☐ to be paid in equal amounts of $_____________, the

first to be paid on or before the _______ day of ___________________ 201___, and all


full.

___22MJ1 make restitution by paying to the Provincial Court at 110 Ominica Street West, Moose Jaw, SK.,

S6H 6V2, $_______ in trust for ____________________________ on or before

_______________________________________, 201____.

___22MJ2 make restitution by paying to the Provincial Court at 110 Ominica Street West, Moose Jaw, SK.,

S6H 6V2, $_______ in trust for __________________ to be paid in equal payments of

$_______, the first payment to be paid on or before the ____ day of ____________________,


(to April 12, 2019)

15


until paid in full.

___22ML make restitution by paying to the Provincial Court at 207 3rd Avenue East, Meadow Lake, SK.,

S9X 1E7, $_______________ in trust for _________________________________ ☐ on or




full.

___22ML1 make restitution by paying to the Provincial Court at 207 3rd Avenue East, Meadow Lake, SK.,

S9X 1E7, $_______ in trust for ____________________________ on or before

_______________________________________, 201___.

___22ML2 make restitution by paying to the Provincial Court at 207 3rd Avenue East, Meadow Lake, SK.,

S9X 1E7, $_______ in trust for __________________ to be paid in equal payments of



until paid in full.

___22NB make restitution by paying to the Provincial Court at 3 Railway Avenue East, North Battleford,

SK., S9A 2P9, $_______________ in trust for _________________________________ ☐ on

or before ______________________ ☐ to be paid in equal amounts of $_____________, the



full.

___22NB1 make restitution by paying to the Provincial Court at 3 Railway Avenue East, North Battleford,

SK., S9A 2P9, $_______ in trust for ____________________________ on or before

_______________________________________, 201___.

___22NB2 make restitution by paying to the Provincial Court at 3 Railway Avenue East, North Battleford,

SK., S9A 2P9, $_______ in trust for __________________ to be paid in equal payments of



until paid in full.

___22PA make restitution by paying to the Provincial Court at 188 11th Street West, Box 3003, Prince

Albert, SK., S6V 6B1, $_______________ in trust for _________________________________




until paid in full.

___22PA1 make restitution by paying to the Provincial Court at 188 11th Street West, Box 3003, Prince

Albert, SK., S6V 6B1, $_______ in trust for ____________________________ on or before

_______________________________________, 201___.


(to April 12, 2019)

16

___22PA2 make restitution by paying to the Provincial Court at 188 11th Street West, Box 3003, Prince

Albert, SK., S6V 6B1, $_______ in trust for __________________ to be paid in equal payments

of $_______, the first payment to be paid on or before the ____ day of ____________________,


until paid in full.

___22RG make restitution by paying to the Provincial Court at 1815 Smith Street, Regina, SK., S4P 2N5 ,

$_______________ in trust for _________________________________ ☐ on or before




___22RG1 make restitution by paying to the Provincial Court at 1815 Smith Street, Regina, SK., S4P 2N5,

$_______ in trust for ____________________________ on or before

_______________________________________, 201___.

___22RG2 make restitution by paying to the Provincial Court at 1815 Smith Street, Regina, SK., S4P 2N5 ,

$_______ in trust for __________________ to be paid in equal payments of $_______, the first

payment to be paid on or before the ____ day of ____________________, 201__, and all


full.

___22SC make restitution by paying to the Provincial Court at 121 Lorne Street W, Swift Current, SK.,

S9H 0J4, $_______________ in trust for _________________________________ ☐ on or




full.

__22SC1 make restitution by paying to the Provincial Court at 121 Lorne Street W, Swift Current, SK.,

S9H 0J4 , $_______ in trust for ____________________________ on or before

_______________________________________, 201__.

___22SC2 make restitution by paying to the Provincial Court at 121 Lorne Street W, Swift Current, SK.,

S9H 0J4, $_______ in trust for __________________ to be paid in equal payments of $_______,

the first payment to be paid on or before the ____ day of ____________________, 201__, and

all payments after that to be paid on or before the same day of each month after that until paid in

full.

___22ST make restitution by paying to the Provincial Court at 220 19th Street East, Saskatoon, SK., S7K

2H6, $_______________ in trust for _________________________________ ☐ on or before




___22ST1 make restitution by paying to the Provincial Court at 220 19th Street East, Saskatoon, SK., S7K


(to April 12, 2019)

17

2H6, $_______ in trust for ____________________________ on or before

_______________________________________, 201___.

___22ST2 make restitution by paying to the Provincial Court at 220 19th Street East, Saskatoon, SK., S7K

2H6, $_______ in trust for __________________ to be paid in equal payments of $_______, the

first payment to be paid on or before the ____ day of ____________________, 201__, and all


full.

___22WY make restitution by paying to the Provincial Court at 410 Avenue C East, Box 1449, Wynyard,

SK., S0A 4T0, $_______________ in trust for _________________________________ ☐ on or




full.

___22WY1 make restitution by paying to the Provincial Court at 410 Avenue C East, Box 1449, Wynyard,

SK., S0A 4T0, $_______ in trust for ____________________________ on or before

_______________________________________, 201__.

___22WY2 make restitution by paying to the Provincial Court at 410 Avenue C East, Box 1449, Wynyard,

SK., S0A 4T0, $_______ in trust for __________________ to be paid in equal payments of



until paid in full.

___22YK make restitution by paying to the Provincial Court at 120 Smith Street East, Yorkton, SK., S3N

3V3, $_______________ in trust for _________________________________ ☐ on or before




___22YK1 make restitution by paying to the Provincial Court at 120 Smith Street East, Yorkton, SK., S3N

3V3, $_______ in trust for ____________________________ on or before

_______________________________________, 201__.

___22YK2 make restitution by paying to the Provincial Court at 120 Smith Street East, Yorkton, SK., S3N

3V3, $_______ in trust for __________________ to be paid in equal payments of $_______, the

first payment to be paid on or before the ____ day of ____________________, 201__, and all


full.

___23 report by telephone [toll free 1-888-286-6664] within 2 days to the Restitution

Coordinator and report after that as told to do so by the Restitution Coordinator until restitution

is paid in full.

Apology


(to April 12, 2019)

18

___ 24 prepare a ☐ written ☐ oral apology to

____________________________________________ approved by your supervisor and deliver

that apology as told to do so by your supervisor by ____________________________.

___24.1 prepare a written apology to ______________________ approved by your supervisor and deliver

that apology as told to do so by your supervisor by _______________________________.

Weapons

___ 25 not possess any ☐ firearms or ammunition ☐ cross-bow, prohibited weapon, restricted

weapon, prohibited device, prohibited ammunition or explosive substance ☐ or other weapons

☐ or knife, except when using a knife to eat ☐ or except

____________________________________________________________.

☐ You shall immediately deal with any firearms or ammunition in your possession as

follows:

_____________________________________________________________________________.

☐ You shall immediately surrender any authorizations, licences, or registration

certificates that you may hold respecting firearms or ammunition to

_______________________________________ for safekeeping during the length of this order.

___25.1 not possess any firearms or ammunition or other weapons

___25.2 not possess any firearms or ammunition, cross-bow, prohibited weapon, restricted weapon,

prohibited device, prohibited ammunition or explosive substance. [s. 515(4.1) CC]

___25.3 you shall immediately deal with any firearms or ammunition in your possession as follows:

____________________________________________________, and you shall immediately

surrender any authorizations, licences, or registration certificates that you may hold respecting

firearms or ammunition to ___________________________________ for safekeeping during

the length of this order. [s. 515(4.11) CC]

___25.4 not possess a knife except when using a knife to eat.

Weapons: Searches

___26 submit to a search without warrant of your person and ❑ any vehicle ❑ or residence ❑

that you own, operate, control or possess ❑ by any police officer who has reasonable grounds

to ❑ believe ❑ suspect that you are in breach of a condition of this order regarding the

possession of firearms or ammunition or other weapons. ___Accused consented

___26.1 submit to a search without warrant of your person by any police officer who has reasonable

grounds to believe that you are in breach of a condition of this order regarding the possession of

firearms or ammunition or other weapons. ____ Accused consented [Judicial discretion]

___26.2 submit to a search without warrant of your person by any police officer who has reasonable

grounds to suspect that you are in breach of a condition of this order regarding the possession of

firearms or ammunition or other weapons. ____ Accused consented [Judicial discretion]


(to April 12, 2019)

19

Report to Police

___ 27 report ☐ in person ☐ by phone to the______________________________________

on ☐ or before _______________________________, between 9 a.m. and 4 p.m. ☐ and after

that report ☐ once a week ☐ ____________________ a week ☐ every

___________________ between 9 a.m. and 4 p.m. as directed unless excused by that police

service.

___27.1 report in person to the ____________________________________ police service on

__________________, between 9 a.m. and 4 p.m. and after that report once a week every

________________ between 9 a.m. and 4 p.m. as directed unless excused by that police service.

___27.2 report in person to the ____________________________________ police service on

__________________, between 9 a.m. and 4 p.m. and after that report once a week every

________________ between 9 a.m. and 4 p.m. as directed.

___27.3 report in person to the __________________________ police service every

_________________________ between 9:00 a.m. and 4:00 p.m. as directed unless excused by

that police service.

Employment/Education

___28 seek and maintain employment or educational programming as directed by your

supervisor.

No Driving

___29 not be in the driver’s seat of a motor vehicle.

Carry Copy of this Order

___30 when outside your residence, carry with you a copy of this order and any permission for

an exception to this order, and produce it when asked to do so by a police officer.

Stroll Clause

___31 not stand idly around or linger in the area bounded by ________________________

between ______ p.m. and ______ a.m. except

___________________________________________.

Drugs: No Cell Phones

___32 not possess or use any cell phone, smart phone, police scanner, or other mobile electronic

communications device, except _____________________________________.


(to April 12, 2019)

20

Drugs: Searches

___33 submit to a search without warrant of your person and ❑ any vehicle ❑ or residence ❑

that you own, operate, control or possess ❑ by any police officer who has reasonable grounds

to ❑ believe ❑ suspect that you are in breach of a condition of this order regarding the illegal

use, possession or control of drugs. ___Accused consented

___33.1 submit to a search without warrant of your person and any vehicle or residence that you own,

operate, control or possess by any police officer who has reasonable grounds to believe that you

are in breach of a condition of this order regarding the illegal use, possession or control of drugs.


operate, control or possess by any police officer by any police officer who has reasonable

grounds to suspect that you are in breach of a condition of this order regarding the illegal use,

possession or control of drugs.

___33.3 submit to a search without warrant or reasonable grounds of your person and any vehicle or

residence that you own, operate, control or possess by any police officer.

No Contact with Persons Under Age 16

___35 have no contact directly or indirectly with any person under the age of 16 unless you are

in the company of an adult who has been approved for such purpose by your supervisor or

designate.

Stay Away From Areas Where Children Go

___36 not go to a public park, public swimming area, where persons under the age of 16 years

are present or can reasonably be expected to be present, or a school ground, playground, daycare

centre, community centre except __________________________________________________.

No Work or Volunteering with Children

___37 not obtain or continue any employment, or be a volunteer in a capacity that involves

being in a position of trust or authority towards persons under the age of 16 years.

Note: Conditions 35 and 36 may be part of a probation order or CSO, or they may be in a

stand alone order under s. 161 C.C.

No Pornography

___38 not access or possess any pornography.

No Internet Communication with Children

___39 not use a computer system for the purpose of communicating with a person who is, or

who you believe is, under the age of 16 years.


(to April 12, 2019)

21

No Computer Use Except for Work/Education

___SK40 not own, possess, access, or use a computer, portable wireless communication device, smart

phone, cell phone or any similar device ❑ that is capable of accessing the internet ❑ except as

may be required for your employment, educational, or other purposes after you first obtain

written permission from your supervisor regarding the place and circumstances.

___40.1 not own, possess, access, or use a computer, portable wireless communication device, smart

phone, cell phone or any similar device that is capable of accessing the internet except as may

be required for your employment, educational, or other purposes after you first obtain written

permission from your supervisor regarding the place and circumstances.

Computers: Searches

___41 submit to a search without warrant of your person and ❑ any vehicle or ❑ residence ❑

that you own, operate, control or possess ❑ by any police officer who has reasonable grounds to

❑ believe ❑ suspect that you are in breach of a condition of this order regarding the use, access

to, possession, or control of computers or similar devices specified in this order, and if computers

or similar devices are found, allow a search of the computers or similar devices. ___ Accused

consented


operate, control or possess by any police officer who has reasonable grounds to believe that you

are in breach of a condition of this order regarding the use, access to, possession, or control of

computers or similar devices specified in this order, and if computers or similar devices are found,

allow a search of the computers or similar devices. ____ Accused consented [Judicial discretion]


operate, control or possess by any police officer who has reasonable grounds to suspect that you

are in breach of a condition of this order regarding the use, access to, possession, or control of

computers or similar devices specified in this order, and if computers or similar devices are found,

allow a search of the computers or similar devices. ____ Accused consented [Judicial discretion]

re: information #: conditional sentence

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