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Rule 15.12A(1)
Form of petition to High Court of Justiciary for suspension of sentence where intimation of intention to appeal lodged
UNTO THE RIGHT HONOURABLE THE LORD JUSTICE GENERAL, LORD JUSTICE CLERK and LORDS COMMISSIONERS OF JUSTICIARY
PETITION
of
[A.B.] (address)
[or Prisoner in the Prison of (place)]
PETITIONER
under
section 121A of the Criminal Procedure (Scotland) Act 1995
HUMBLY SHEWETH:
1. That on (date) the petitioner was convicted in the High Court of Justiciary [or sheriff court] at (place) of (specify offence) and was sentenced to (specify relevant sentence).
2. That on (date) the petitioner lodged with the Clerk of Justiciary an intimation of intention to appeal under section 109(1) of the Criminal Procedure (Scotland) Act 1995.
3. That (state facts relevant to application).
4. That the applicant has served a copy of this application on the Crown Agent.
MAY IT THEREFORE please your Lordships under section 121A of the Criminal Procedure (Scotland) Act 1995 to suspend ad interim the sentence.
ACCORDING TO JUSTICE, etc.
(Signed)
[Solicitor for petitioner]
(Address and telephone number of solicitor)
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