Government of Canada / Gouvernement du Canada
Symbol of the Government of Canada

Search

Criminal Code

Version of the schedule from 2018-12-13 to 2019-12-17:


FORM 12(Sections 493 and 679)Undertaking Given to a Justice or a Judge

Canada,

Province of blank line,

(territorial division).

I, A.B., of blank line, (occupation), understand that I have been charged that (set out briefly the offence in respect of which accused is charged).

In order that I may be released from custody, I undertake to attend court on blank line day, the blank line day of blank line A.D. blank line, and to attend after that as required by the court in order to be dealt with according to law (or, where date and place of appearance before court are not known at the time undertaking is given, to attend at the time and place fixed by the court and after that as required by the court in order to be dealt with according to law).

(and, where applicable)

I also undertake to (insert any conditions that are directed)

  • (a) report at (state times) to (name of peace officer or other person designated);

  • (b) remain within (designated territorial jurisdiction);

  • (c) notify (name of peace officer or other person designated) of any change in my address, employment or occupation;

  • (d) abstain from communicating, directly or indirectly, with (identification of victim, witness or other person) except in accordance with the following conditions: (as the justice or judge specifies);

  • (e) deposit my passport (as the justice or judge directs); and

  • (f) (any other reasonable conditions).

I understand that failure without lawful excuse to attend court in accordance with this undertaking is an offence under subsection 145(2) of the Criminal Code.

Subsections 145(2) and (3) of the Criminal Code state as follows:

  • “(2) Every person is guilty of an indictable offence and liable to imprisonment for a term of not more than two years or is guilty of an offence punishable on summary conviction who,

    • (a) being at large on their undertaking or recognizance given to or entered into before a justice or judge, fails, without lawful excuse, to attend court in accordance with the undertaking or recognizance, or

    • (b) having appeared before a court, justice or judge, fails, without lawful excuse, to attend court as subsequently required by the court, justice or judge or to surrender themselves in accordance with an order of the court, justice or judge, as the case may be.

  • (3) Every person who is at large on an undertaking or recognizance given to or entered into before a justice or judge and is bound to comply with a condition of that undertaking or recognizance, and every person who is bound to comply with a direction under subsection 515(12) or 522(2.1) or an order under subsection 516(2), and who fails, without lawful excuse, the proof of which lies on them, to comply with the condition, direction or order is guilty of

    • (a) an indictable offence and liable to imprisonment for a term not exceeding two years; or

    • (b) an offence punishable on summary conviction.”

Dated this blank line day of blank line A.D. blank line, at blank line .

(Signature of accused)

  • R.S., 1985, c. C-46, Form 12
  • R.S., 1985, c. 27 (1st Supp.), s. 184
  • 1994, c. 44, s. 84
  • 1999, c. 25, s. 25
  • 2008, c. 18, s. 45.1
  • 2018, c. 29, s. 72

Date modified: