Gladue Request Form

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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

Date Required *

Sentencing Date *

Has the Accused had a Gladue report completed in the past? *

Yes
No

Name of Accused *

Date of Birth *

Address of Accused

Indigenous Community

Email of Accused

Social Media Accounts of Accused

Primary Phone of Accused *

Secondary Phone of Accused

Secondary Contact Person 1

Name *

Phone *

Address

Email or Social Media

Secondary Contact Person 2

Name

Phone

Address

Email or Social Media

Court Details

Name of Justice*

Court Location *

Level of Court *

Custody Status *

Court Type *

Probation Officer / Bail Supervisor

Probation Officer / Bail Supervisor Phone

Agencies / Community Support Service(s)

Defence Counsel *

Defence Email *

Defence Phone *

Crown Prosecutor *

Crown Email *

Crown Phone

Charges

Please enter Charges, one on each line

Docket numbers *

Please enter Docket Numbers, one on each line

Comments

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.

Other Useful Links:

Gladue Request Form

Secondary Contact Person 1

Secondary Contact Person 2

Court Details

Court of King's Bench of Alberta

Other Useful Links: