| TO: The Honourable Chief Justice of the Court of Queen's bench for Saskatchewan |
| 1. I, (insert given names, surname and any other names used by the applicant), of (insert the name and place of the institution where the applicant is imprisoned), hereby apply for a reduction in the number of years of my imprisonment without eligibility for parole. |
| 2. I was convicted of the offence of (specify the offence including 'Criminal Code' section) on (insert date of conviction). |
| 3. My period of ineligibility for parole is (insert length of time). |
| 4. For the offence referred to in paragraph 2, I have been imprisoned for a period of ____________years, which period includes the time that I spent in custody between the day on which I was arrested and taken into custody for that offence and the day on which the sentence was imposed. |
| 5. The name of the officer in charge of the institution where I am imprisoned is (insert the name of the officer). |
| 6. The type of evidence that I intend to present at the hearing of my application includes (list the types of evidence that the applicant intends to present; for example, affidavit evidence, testimony of witnesses or oral evidence of the applicant and list the name of any deponents and witnesses). |
| 7. My address for service is (insert complete mailing address). |
| 8. The name and address of my counsel is (insert complete name and address of counsel, if applicable). |
| DATED at (insert place) in the Province of (insert province), (insert date), 19 _______. |
|
_____________________ (Signature of applicant) |