This form is for use only by Defence Counsel after the Court has ordered a Gladue Report be prepared for sentencing purposes.
Fields marked with asterisk * are required
Secondary Contact Person 1
Secondary Contact Person 2
Please enter Charges, one on each line
Please enter Docket Numbers, one on each line
Note: All successfully submitted Gladue Report Request forms will generate an automated CONFIRMATION email, sent to Defence Counsel's email address as entered on this form. If you do not receive a confirmation email, your form may not have been received.