CSR-2A-40-09-E (2013/11)

Form 2A SUPPLEMENTARY NOTICE OF APPEAL

(Criminal Proceedings Rules, Rule 40.09)ONTARIO

SUPERIOR COURT OF JUSTICE

RegionCourt File No. (if known)

BETWEEN:HER MAJESTY THE QUEEN

- and -

(specify name of accused)

TAKE NOTICE that in addition to the grounds of appeal set out in the Notice of Appeal filed on

, 20 , the Appellant will place reliance on the ground(s) of appeal set out below.

THE ADDITIONAL GROUNDS OF APPEAL ARE:1. That (indicate grounds for appeal, taking into consideration the statutory bases for appeal granted by the provision under which the appeal

is instituted i.e. the necessity of demonstrating error in point of law, excess of or refusal or failure to exercise jurisdiction if the appeal is brought under subsection 830(1) of the Code)

DATED at , ,

this day of , 20

Signature of appellant or solicitor

(set out name and address, as well as telephone and fax numbers)

CSR-2A-40-09-E (2013/11)

Court File No.

Form 3 BACKSHEET

SUPERIOR COURT OF JUSTICE

HER MAJESTY THE QUEEN

- and -

Supplementary Notice of Appeal, Form 2A

(Criminal Proceedings Rules, Form 3)

(name of counsel)

(complete address of counsel)

(counsel’s telephone and fax numbers with area code)