551 GERRARD STREET EAST

TORONTO, ONT, M4M 1X7

TEL: 416 463-6666 EXT 232

FAX: 416 463-8259

EMAIL:

PAZUKI LAW OFFICE

DESIGNATION OF COUNSEL

(Pursuant to s. 650.01 of the Criminal Code)

I ______(“the accused”) appoint Al Pazuki (“Counsel”) to act as my designated counsel in this matter pursuant to section 650.01 of the Criminal Code.

I understand that by signing the designation of counsel form, Counsel or any agent/student/counsel/or staff member may appear on my behalf in any part of my criminal proceedings.

I understand that despite the filing of the designation of counsel form with the court, I may be required by Counsel to appear for my court proceedings.

I understand that it is my responsibility to communicate with Counsel on a regular basis to determine if my attendance is required on the next court date.

I understand that failure to attend court is a criminal offence. Failure to appear for my court date as a result of failing to communicate with Counsel or for any other reason is my own responsibility and may result in my arrest.

I further understand that failure to meet my obligations under the “retainer agreement” will nullify this designation of counsel form and I will be responsible to appear on my own behalf. Counsel will no longer be obligated to act on my behalf. (subject to the Court)

Name of Accused: ______

Address of Accused: ______

Phone Number of Accused: ______

Charges dealt with under this designation: ______

I acknowledge that I have read this document and do instruct Counsel and his office according to its contents.

Signature of Accused: ______Dated this ______day of ______, 200___.

Signature of Designated Counsel: ______Dated this _____ day of

______, 200___.