Commonwealth Consolidated Regulations Commonwealth Consolidated RegulationsForm 1 Form for the purposes of section 16BA
(Front of Form)
Commonwealth of Australia
FORM FOR THE PURPOSES OF SECTION 16BA
*Branch Office of the Director of Public Prosecutions
*Regional Office of the Attorney‑General's Department
1
2
TO:
You are charged with the following federal *offence/*offences:
(i) 3 ;
(ii) 3 ;
before the 4 .
Information for Defendant
1. The list on the back of this document gives particulars of 5 other *offence/*offences which you are believed to have committed.
2. If you are convicted of *the charge/*any of the charges mentioned above and before sentence is passed, you may:
(a) if:
(i) the court decides; and
(ii) the prosecution agrees;
admit all or any of the offences specified on the back of this document; and
(b) ask that any of those offences that you have admitted be taken into account by the court in passing sentence for the *offence/*offences of which you have been convicted.
3. If you are convicted and the court does take any of the offences that you have admitted into account, the maximum sentence that may be passed upon you for *the offence/*any offence of which you have been convicted will still be the maximum penalty that the court could have imposed on you for the offence if no other offence had been taken into account.
4. If the court takes an offence that you have admitted into account, the court may make such orders about reparation, restitution, compensation, costs and forfeiture as it could have made if you had been convicted before the court of the offence, but will not impose any other punishment for the offence.
5. No proceedings may be taken or continued against you for an offence taken into account by the court in respect of a conviction unless the conviction in respect of which the offence has been taken into account has been quashed or set aside.
6. If, in the circumstances mentioned in paragraph 5:
(a) proceedings are taken or continued against you for an offence that you have admitted; or
(b) if the court does not for any reason take anyone or more of the offences that you have admitted into account;
your admission cannot be used as evidence against you in any proceedings taken or continued for the offence about which the admission was made or for any other offence listed on the back of this document.
6
7
*Director of Public Prosecutions/*A person authorised by the Director of Public Prosecutions under subsection 16BA (1) of the Crimes Act 1901 /*A person appointed under section 69 of the Judiciary Act 1903
8
Acknowledgment
I, 2 , acknowledge receipt of a copy of this document.
9
8
CERTIFICATE
This is to certify that in passing sentence on 2
for the *offence/*offences listed above
of which 2 has
been convicted, the court has taken into account the *offence/*offences admitted by 2 which are numbered
10 in the list on the back of this document.
Dated 8 .
11
*Judge of 4 /*Magistrate
(Back of Form)
Crimes Act 1914 , section 16BA
Federal offences which you are believed to have committed
|
Item |
Place where offence was committed |
Date of |
Brief description of offence |
|
|
|
|
|
1 insert address
2 insert name of defendant
3 insert details of offences
4 insert name of court
5 insert number of offences listed
6 signature of the Director of Public Prosecutions, person authorised by the Director of Public Prosecutions under subsection 16BA (1) of the Crimes Act 1914 or person appointed under section 69 of the Judiciary Act 1903
7 insert full name of person authorised by the Director of Public Prosecutions under subsection 16BA (1) of the Crimes Act 1914 or of person appointed under section 69 of the Judiciary Act 1903
8 insert date
9 signature of defendant
10 insert the number of each offence taken into account
11 signature of judge or magistrate
* omit if inapplicable
Form 2 Warrant under section 19AS authorising the detention of a person
Commonwealth of Australia
WARRANT UNDER SECTION 19AS AUTHORISING THE DETENTION OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , *a Judge of 4 /*Magistrate:
(a) under paragraph 19AS (1) (c) of the Crimes Act 1914 authorise those members in 1 to take 5 to 2 in 1 and deliver *him/*her to the officer in charge of that prison, together with this warrant; and
(b) authorise the officer in charge of 2 in 1 to receive 5 into your custody and imprison *him/*her for the *term/*terms of the *sentence/*sentences of imprisonment specified in the Schedule.
This warrant is issued because 5 is a person:
(a) who is serving or is to serve a federal sentence within the meaning of Part 1B of the Crimes Act 1914 ; and
(b) who was released on parole or licence under that Act; and
(c) whose parole or licence is taken to have been revoked under section 19AQ of that Act, because one or more further federal State or Territory sentences have been imposed on *him/*her; and
(d) who has become liable under section 19AQ to serve the part of each of the sentences referred to in paragraph (a) that *he/*she had not served at the time of *his/*her release.
SCHEDULE
DETAILS OF *SENTENCE/*SENTENCES TO BE SERVED
1 . 6
2 .
3 .
Dated 7 .
8
*Judge of 4 /*Magistrate
1 insert State or Territory
2 insert name of prison
3 insert full name of judge or magistrate
4 insert name of court
5 insert full name of person
6 insert details of each outstanding sentence commencing with the longest outstanding sentence
7 insert date
8 signature of judge or magistrate.
* omit if inapplicable
Form 3 Notice of revocation under subsection 19AU (2)
Commonwealth of Australia
NOTICE OF REVOCATION UNDER SUBSECTION 19AU (2)
To 1 , a person to whom *a parole order under section 19AL/* a licence under section 19AP of the Crimes Act 1914 relates:
I, 2 , Attorney‑General of the Commonwealth of Australia, under subsection 19AU (2) of the Crimes Act 1914 notify you that:
*(a) you have not complied with the following *condition/*conditions of your *parole order/*licence:
(i) 3 ; and
(ii) 3 ; and
*(a) I have reasonable grounds to suspect that you have not complied with the following *condition/*conditions of your *parole order/*licence:
(i) 3 ; and
(ii) 3 ; and
(b) I propose to revoke that *parole order/*licence at the end of 14 days after the date of this notice unless:
(i) you give me reasons, in writing, why the *parole order/*licence should not be revoked; and
(ii) I accept those reasons.
This notice has been issued because
* 1 failed to comply with *a condition/*conditions of the *parole order/*licence during the *parole period/*licence period.
* there are reasonable grounds for suspecting that 1 has failed to comply with *a condition/*conditions of the *parole order/*licence during the *parole period/*licence period.
Dated 4 .
5
Attorney‑General
1 insert full name of person
2 insert full name of Attorney‑General
3 list details of each condition which has allegedly been breached
4 insert date
5 signature of Attorney‑General
* omit if inapplicable
Form 4 Warrant for arrest under subsection 19AV (2)
Commonwealth of Australia
WARRANT FOR ARREST UNDER SUBSECTION 19AV (2)
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
I, 2 , 3 , a prescribed authority within the meaning of the Crimes Act 1914 , under subsection 19AV (2) of that Act, authorise and request you to arrest 4 and bring *him/*her, as soon as practicable, before a magistrate in the *State/*Territory in which *he/*she is arrested to be dealt with according to law.
This warrant is issued because:
(a) the *Attorney‑General/*Director of Public Prosecutions has applied under subsection 19AV (2) of the Crimes Act 1914 for the issue of this warrant; and
(b) I am satisfied that the *parole order/*licence relating to 4 has been revoked under subsection 19AU (2) of that Act.
Dated 5 .
6
3
1 insert State or Territory
2 insert full name of prescribed authority
3 designation of prescribed authority
4 insert full name of person to whom warrant relates
5 insert date
6 signature of prescribed authority
* omit if inapplicable
Form 5 Warrant under subsection 19AW (1) authorising the detention of a person
Commonwealth of Australia
WARRANT UNDER SUBSECTION 19AW (1) AUTHORISING THE DETENTION OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , 4 , a prescribed authority under Part 1B of the Crimes Act 1914 :
(a) under paragraph 19AW (1) (d) of that Act authorise those members in 1 to take 5 to 2 in 1 and deliver *him/*her to the officer in charge of that prison, together with this warrant; and
(b) under paragraph 19AW (1) (e) of that Act authorise the officer in charge of 2 in 1 to receive
5 into your custody and imprison *him/*her for the *term/*terms of the *sentence/*sentences of imprisonment specified in the Schedule*./*; and
*(c) under paragraph 19AW (1) (f) of that Act fix the non‑parole period in respect of the *sentence/*sentences at 6 .
This warrant is issued because:
(a) the Attorney‑General acting under subsection 19AU (2) of the Crimes Act 1914 has revoked the *parole order/*licence relating to 5 ; and
(b) I am satisfied that:
(i) 5 is the person named in that revocation order; and
(ii) 5 was notified by the Attorney‑General of the proposal to make the revocation order; and
(iii) the revocation order is still in force.
SCHEDULE
DETAILS OF *SENTENCE/*SENTENCES TO BE SERVED
7
Dated 8 .
9
4
1 insert State or Territory
2 insert name of prison
3 insert full name of prescribed authority
4 insert designation of prescribed authority
5 insert full name of person
6 insert length of non‑parole period
7 insert details of each sentence
8 insert date
9 signature of prescribed authority
* omit if inapplicable
Form 6 Warrant under subsection 19AW (2) authorising the remand of a person
Commonwealth of Australia
WARRANT UNDER SUBSECTION 19AW (2) AUTHORISING THE REMAND OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , 4 , a prescribed authority under Part 1B of the Crimes Act 1914 :
(a) under subsection 19AW (2) of that Act authorise those members in 1 to take 5 to 2 in 1
and deliver *him/*her to the officer in charge of that prison, together with this warrant; and
(b) authorise the officer in charge of 2 in 1
to receive 5 into your custody and keep *him/*her until 6 when you are to have 5
brought before this Court at 7 .
This warrant is issued because:
(a) a hearing under subsection 19AW (1) of the Crimes Act 1914 is not completed; and
(b) I am satisfied that it is necessary to remand 5 in custody.
Dated 8 .
9
4
1 insert State or Territory
2 insert name of prison
3 insert full name of prescribed authority
4 insert designation of prescribed authority
5 insert full name of person
6 insert time and date
7 insert address of court
8 insert date
9 signature of prescribed authority
* omit if inapplicable
Form 7 Order under paragraph 19AX (1) (b) for the detention of a person
Commonwealth of Australia
ORDER UNDER PARAGRAPH 19AX (1) (b) FOR THE DETENTION OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , 4 , a prescribed authority under Part 1B of the Crimes Act 1914 :
(a) under paragraph 19AX (1) (b) of that Act authorise those members in 1 to take 5 to 2
in 1 and deliver *him/*her to the officer in charge of that prison, together with this warrant; and
(b) authorise the officer in charge of 2 in 1 to receive 5 into your custody and detain *him/*her until:
(i) the Attorney‑General orders that the revocation order under subsection 19AV (2) of that Act be rescinded; or
(ii) until the completion of proceedings under subsection 19AW (1) of that Act.
This warrant is issued because:
(a) the Attorney‑General acting under subsection 19AU (2) of the Crimes Act 1914 has revoked the *parole order/*licence relating to 5 ; and
(b) I am satisfied that 5 is the person named in that revocation order; and
(c) I am not satisfied that 5 was notified by the Attorney‑General of the proposal to make the revocation order.
Dated 6 .
7
4
1 insert State or Territory
2 insert name of prison
3 insert full name of prescribed authority
4 insert designation of prescribed authority
5 insert full name of person
6 insert date
7 signature of prescribed authority
* omit if inapplicable
Form 8 Notification of breach under subsection 19AX (2)
Commonwealth of Australia
NOTIFICATION OF BREACH UNDER SUBSECTION 19AX (2)
TO: 1 , a person subject to a revocation order under subsection 19AU (2) of the Crimes Act 1914 :
I, 2 , Attorney‑General of the Commonwealth of Australia, under subsection 19AX (2) of the Crimes Act 1914 notify you that:
*(a) you have not complied with the following *condition/*conditions of your *parole order/*licence:
(i) 3 ; and
(ii) 3 ; and
*(a) I have reasonable grounds to suspect that you have not complied with the following *condition/*conditions of your *parole order/*licence:
(i) 3 ; and
(ii) 3 ; and
(b) I propose to revoke that *parole order/*licence at the end of 14 days after the date of this notice unless:
(i) you give me reasons, in writing, why the *parole order/*licence should not be revoked; and
(ii) I accept those reasons.
This notice has been issued because:
(a) I have been notified by 4 , a prescribed authority under
Part 1B of the Crimes Act 1914 that 1 has been brought before *him/*her; and
(b) 4 is not satisfied that 1 was notified by me that I proposed to make the revocation order under subsection 19AU (2) of that Act.
Dated 5 .
6
Attorney‑General
1 insert full name of person
2 insert full name of Attorney‑General
3 list details of each condition which has allegedly been breached
4 insert full name and designation of prescribed authority
5 insert date
6 signature of Attorney‑General
* omit if inapplicable
Form 9 Summons under subsection 19AZ (2)
Commonwealth of Australia
SUMMONS UNDER SUBSECTION 19AZ (2)
TO: 1
You are summoned under subsection 19AZ (2) of the Crimes Act 1914 to appear before the 2 at 3
at 4 and to attend from day to day, unless you are excused or released from attendance, to give evidence *and/*to produce the following *documents/*and/*articles:
5
1 .
5 .
2 .
Dated 6 .
7
8
1 insert name and address of witness
2 insert name of court
3 insert address of court
4 insert time and date
5 insert details of documents or articles
6 insert date
7 signature of prescribed authority
8 designation of prescribed authority
* omit if inapplicable
____________________________________________________________
Note If you are served with a summons under subsection 19AZ (2) of the Crimes Act 1914 and have been paid or offered a reasonable sum for your expenses and then fail to attend as required by the summons, you are guilty of an offence and are liable, on conviction, to a fine not exceeding $1,000.
Form 10 Order and recognisance under subsection 19B (1)
Commonwealth of Australia
ORDER AND RECOGNISANCE UNDER SUBSECTION 19B (1)
IN THE 1
AT 2
IN THE *STATE OF 3
BETWEEN:
(*Informant/*Appellant)
‑and‑
(*Defendant/*Respondant)
ORDER
THE COURT DISCHARGES the *defendant/*appellant under section 19B of the Crimes Act 1914 without proceeding to conviction upon the *defendant/ *appellant giving security *with *surety/*sureties of $ 4 by
recognisance of $ 5 to comply with the following conditions:
(a) that the *defendant/*appellant is to be of good behaviour for 6 *months/*years; and
(b) that the *defendant/*appellant is to *make reparation/*make restitution/*pay compensation of $ 7 to 8 *by 9 ;/
*by instalments of $ 10 ; and
(c) that the *defendant/*appellant is to pay costs of this prosecution for the *offence/*offences specified below of $ 7 to 8 *by 9 ;/
*by instalments of $ 10 ; and
(d) that the *defendant/*appellant is to comply with the following further conditions:
(i) 11 ;
(ii) 11 .
This Order has been issued because
* the appellant, 12 of 13
appealed to this court against the *sentence/*conviction and sentence imposed by the 2 Magistrates' Court
on 14 in respect of the following federal *offence/*offences:
(i) 15 ; and
(ii) 15 ; and
* the defendant, 12 , was charged with the following federal *offence/*offences:
(i) 15 ; and
(ii) 15 ; and
the court is satisfied that the *charge is/*charges are proved, but is of the opinion, having regard to:
(a) the character, antecedents, age, health or mental condition of the person; or
(b) the extent to which the *offence is/*offences are of a trivial nature; or
(c) the extent to which the *offence was/*offences were committed under extenuating circumstances;
that
* it is inexpedient to inflict *any punishment/*any punishment other than a nominal punishment.
* it is expedient to release the *defendant/*appellant on probation.
Dated 14 .
16
*Judge of 1 /*Magistrate/*Registrar
of 1 /*Clerk of 1 /*Justice of the Peace
RECOGNISANCE
I, 12 , the *defendant/*appellant:
(a) have had explained to me:
(i) the purpose and effect of this Order; and
(ii) the consequences that may follow if I fail, without reasonable excuse, to comply with the conditions of this Order; and
(iii) that this Order may be discharged or varied under section 20AA of the Crimes Act 1914 ; and
(b) agree that I am bound in accordance with this Order; and
(c) agree that I have been given a copy of this Order.
Dated 14 .
17
Before me:
18
*Registrar of 1 /*Clerk of 1 /*Justice of the Peace
UNDERTAKING BY *SURETY/*SURETIES
I undertake to pay to the Commonwealth of Australia the amount specified in this Order if the *defendant/*appellant fails to comply with a condition of this Order.
I agree that I have been given a copy of this Order.
First Surety: 19
Name: 20
Address: 21
Second Surety: 22
Name: 23
Address: 24
1 insert name of court
2 insert location of court
3 insert State or Territory
4 insert amount of surety or sureties
5 insert amount of recognisance
6 insert period
7 insert amount
8 insert to whom amount is to be paid
9 insert date by which amount must be paid
10 insert details of instalments
11 insert details of further conditions
12 insert name of defendant or appellant
13 insert address of appellant
14 insert date
15 insert details of offences
16 signature of judge, magistrate, registrar, clerk or justice of the peace
17 insert signature of defendant or appellant
18 signature of registrar, clerk or justice of the peace
19 signature of first surety
20 insert full name of first surety
21 insert address of first surety
22 signature of second surety
23 insert full name of second surety
24 insert address of second surety
* omit if inapplicable
Form 11 Order and recognisance under paragraph 20 (1) (a)
Commonwealth of Australia
ORDER AND RECOGNISANCE UNDER PARAGRAPH 20 (1) (a)
IN THE 1
AT 2
IN THE *STATE OF 3
BETWEEN:
(*Informant/*Appellant)
‑and‑
(*Defendant/*Respondant)
ORDER
THE COURT ORDERS the release of the *defendant/*appellant under paragraph 20 (1) (a) of the Crimes Act 1914 without passing sentence on the *defendant/*appellant upon the *defendant/*appellant giving security *with *surety/*sureties of $ 4 by recognisance of $ 5
to comply with the following conditions:
(a) that the *defendant/*appellant is to be of good behaviour for 6 *months/*years; and
(b) that the *defendant/*appellant is to *make reparation/*make restitution/*pay compensation of $ 7
to 8 *by 9 ;/*by
instalments of $ 10 ; and
(c) that the *defendant/*appellant is to pay costs of this prosecution for the *offence/*offences specified below of $ 7
to 8 *by instalments of $ 10 ; and
(d) that the *defendant/*appellant is to pay to the Commonwealth a pecuniary penalty of $ 7 to 11
*by 9 ;/*by instalments of $ 10 ; and
(e) that the *defendant/*appellant is to comply with the following further conditions:
(i) 12 ;
(ii) 12 .
This Order has been issued because:
*(a) the appellant, 13 of 14 appealed to
this court against the *sentence/*conviction and sentence imposed by the 1 Magistrates' Court on 15 in respect of the following federal *offence/*offences:
(i) 16 ; and
(ii) 16 ; and
*(a) the defendant, 13 , was charged with the following federal *offence/*offences:
(i) 16 ; and
(ii) 16 ; and
(b) the court has convicted the *defendant/*appellant of the *offence/*offences; and
(c) the court has decided to release the *defendant/*appellant without passing sentence on the *defendant/*appellant complies with the conditions of this Order.
Dated 15 .
17
*Judge of 1 /*Magistrate/*Registrar of 1 /
*clerk of 1 /*Justice of the Peace
RECOGNISANCE
I, 13 , the *defendant/*appellant:
(a) have had explained to me:
(i) the purpose and effect of this Order; and
(ii) the consequences that may follow if I fail, without reasonable excuse, to comply with the conditions of this Order; and
(iii) that this Order may be discharged or varied under section 20AA of the Crimes Act 1914 ; and
(b) agree that I am bound in accordance with this Order; and
(c) agree that I have been given a copy of this Order.
Dated 15 .
18
Before me:
19
*Registrar of 1 /*Clerk of 1 /*Justice of the Peace
UNDERTAKING BY *SURETY/*SURETIES
I undertake to pay to the Commonwealth of Australia the amount specified in this Order if the *defendant/*appellant fails to comply with a condition of this Order. I agree that I have been given a copy of this Order.
First Surety: 20
Name: 21
Address: 22
Second Surety: 23
Name: 24
Address: 25
1 insert name of court
2 insert location of court
3 insert State or Territory
4 insert amount of surety of sureties
5 insert amount of recognisance
6 insert period
7 insert amount
8 insert to whom amount is to be paid
9 insert date by which amount must be paid
10 insert details of instalments
11 insert to whom penalty is to be paid
12 insert details of further conditions
13 insert name of defendant or appellant
14 insert address of appellant
15 insert date
16 insert details of offences
17 signature of judge, magistrate, registrar, clerk or justice of the peace
18 insert signature of defendant or appellant
19 signature of registrar, clerk or justice of the peace
20 signature of first surety
21 insert full name of first surety
22 insert address of first surety
23 signature of second surety
24 insert full name of second surety
25 insert address of second surety
* omit if inapplicable
Form 12 Order and recognisance under paragraph 20 (1) (b)
Commonwealth of Australia
Crimes Act 1 914
ORDER AND RECOGNISANCE UNDER PARAGRAPH 20 (1) (b)
IN THE 1
AT 2
IN THE *STATE OF 3
BETWEEN:
(*Informant/*Appellant)
‑and‑
(*Defendant/*Respondant)
ORDER
THE COURT ORDERS the release of the *defendant/*appellant under paragraph 20 (1) (b) of the Crimes Act 1914 *after serving 4
*month/*months of the term of imprisonment/*forthwith upon the *defendant/*appellant giving security *with *surety/*sureties of $ 5 by
recognisance of $ 6 to comply with the following conditions:
(a) that the *defendant/*appellant is to be of good behaviour for 7 *months/*years; and
(b) that the *defendant/*appellant is to *make reparation/*make restitution/*pay compensation of $ 8 to 9
*by 10 ;/*by instalments of $ 11 ; and
(c) that the *defendant/*appellant is to pay costs of this prosecution for the *offence/*offences specified below of $ 8 to 9
by 10 ;/*by instalments of $ 11 ; and
(d) that the *defendant/*appellant is to pay to the Commonwealth a pecuniary penalty of $ 8 to 12
*by 10 ;/*by instalments of $ 11 ; and
(e) that the *defendant/*appellant is to comply with the following further conditions:
(i) 13 ;
(ii) 13 .
This Order has been issued because:
*(a) the appellant, 14 of 15 appealed
to this court against the *sentence/*conviction and sentence imposed by the 1 Magistrates' Court on 16 in respect of the following federal *offence/*offences:
(i) 17 ; and
(ii) 17 ; and
*(a) the defendant, 14 , was charged with the following federal *offence/*offences:
(i) 17 ; and
(ii) 17 ; and
(b) the Court has sentenced the *defendant/*appellant to a term of imprisonment; and
(c) the Court has decided that the *defendant/*appellant be released *after serving *month/*months of the sentence/*forthwith if the *defendant/*appellant complies with the conditions of this Order.
Dated 16 .
18
*Judge of 1 /*Magistrate/*Registrar of 1 /*Clerk of
1 /*Justice of the Peace
RECOGNISANCE
I, 14 , the *defendant/*appellant:
(a) have had explained to me:
(i) the purpose and effect of this Order; and
(ii) the consequences that may follow if I fail, without reasonable excuse, to comply with the conditions of this Order; and
(iii) that this Order may be discharged or varied under section 20AA of the Crimes Act 1914 ; and
(b) agree that I am bound in accordance with this Order; and
(c) agree that I have been given a copy of this Order.
Dated 16 .
19
Before me:
20
*Registrar of 1 /*Clerk of 1 /*Justice of the Peace
UNDERTAKING BY *SURETY/*SURETIES
I undertake to pay to the Commonwealth of Australia the amount specified in this Order if the *defendant/*appellant fails to comply with a condition of this Order.
I agree that I have been given a copy of this Order.
First Surety: 21
Name: 22
Address: 23
Second Surety: 24
Name: 25
Address: 26
1 insert name of court
2 insert location of court
3 insert State or Territory
4 insert number of months
5 insert amount of surety or sureties
6 insert amount of recognisance
7 insert period
8 insert amount
9 insert to whom amount is to be paid
10 insert date by which amount must be paid
11 insert details of instalments
12 insert to whom penalty is to be paid
13 insert details of further conditions
14 insert name of defendant or appellant
15 insert address of appellant or defendant
16 insert date
17 insert details of offences
18 signature of judge, magistrate, registrar, clerk or justice of the peace
19 signature of defendant of appellant
20 signature of registrar, clerk or justice of the peace
21 signature of first surety
22 insert full name of first surety
23 insert address of first surety
24 signature of second surety
25 insert full name of second surety
26 insert address of second surety
*__ omit if inapplicable
Form 13 Warrant for arrest under subsection 20BF (3)
Commonwealth of Australia
WARRANT FOR ARREST UNDER SUBSECTION 20BF (3)
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
I, 2 , 3 , a prescribed authority within the meaning of the Crimes Act 1914 , under subsection 20BF (3) of that Act, authorise and request you to arrest 4 and bring *him/*her, as soon as practicable, before a magistrate in the *State/*Territory in which *he/*she is arrested to be dealt with according to law.
This warrant is issued because:
(a) the Attorney‑General, under section 20BE of the Crimes Act 1914 , ordered that 4 be released from detention; and
(b) the Attorney‑General, under subsection 20BF (1), has revoked that release order.
Dated 5 .
6
3
1 insert State or Territory
2 insert full name of prescribed authority
3 insert designation of prescribed authority
4 insert full name of person to whom warrant relates
5 insert date
6 signature of prescribed authority
* omit if inappropriate
Form 14 Warrant under subsection 20BF (5) authorising the detention of a person
Commonwealth of Australia
WARRANT UNDER SUBSECTION 20BF (5) AUTHORISING THE DETENTION OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , 4 , a prescribed authority under Part 1B of the Crimes Act 1914 :
(a) under paragraph 20BF (5) (c) of that Act
authorise those members
in
1 to
take
5
to
2 in 1 and
deliver
*him/*her to the officer in charge of that *prison/*hospital, together with
this warrant; and
(b) under paragraph 20BF (5) (d) of that Act direct
the officer in charge
of
2
in
1 to
receive
5 into your custody and detain
*him/*her for the period of
6 .
This warrant is issued because:
(a) the Attorney‑General, under subsection 20BF (1) of the Crimes Act 1914 , has revoked the release order relating to 5 ; and
(b) I am satisfied that:
(i) 5 is the person named in the instrument revoking the release order; and
(ii) the release order has been revoked and the revocation is still in force.
Dated 7 .
8
4
1 insert State or Territory
2 insert name of prison or hospital
3 insert full name of prescribed authority
4 insert designation of prescribed authority
5 insert full name of person
6 insert period
7 insert date
8 signature of prescribed authority
* omit if inapplicable
Form 15 Warrant under subsection 20BF (6) authorising the remand of a person
Commonwealth of Australia
WARRANT UNDER SUBSECTION 20BF (6) AUTHORISING THE REMAND OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , 4 , a prescribed authority under Part 1B of the Crimes Act 1914 .
(a) under subsection 20BF (6) of that Act authorise those members in 1
to take 5 to 2
in 1 and deliver *him/*her to the officer in charge of that *prison/*hospital, together with this warrant; and
(b) authorise the officer in charge of 2
in 1 to receive 5
into your custody and keep *him/*her until 6
when you are to have 5 brought before this court at 7 .
This warrant is issued on the basis that:
(a) 5 has been brought before me under subsection 20BF (4) of the Crimes Act 1914 ; and
(b) I have not completed the hearing under subsection 20BF (5) of that Act.
Dated 8 .
9
4
1 insert State or Territory
2 insert name of prison or hospital
3 insert full name of prescribed authority
4 insert designation of prescribed authority
5 insert full name of person
6 insert time and date
7 insert date
8 signature of prescribed authority
* omit if inapplicable
Form 16 Warrant for arrest under subsection 20BM (3)
Commonwealth of Australia
WARRANT FOR ARREST UNDER SUBSECTION 20BM (3)
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
I, 2 , 3 , a prescribed authority within the meaning of Part 1B of the Crimes Act 1914 , under subsection *20BM (3)/*20BT (3) of that Act, authorise and request you to arrest 4 and bring *him/*her, as soon as practicable, before a magistrate in the *State/*Territory in which *he/*she is arrested to be dealt with according to law.
This warrant is issued because:
(a) the Attorney‑General under section *20BL/*20BT of the Crimes Act 1914 , ordered that 4 be released from detention; and
(b) the release order relating to 4 has been revoked.
Dated 5 .
6
3
1 insert State or Territory
2 insert full name of prescribed authority
3 insert designation of prescribed authority
4 insert full name of person
5 insert date
6 signature of prescribed authority
* omit if inapplicable
Form 17 Warrant under subsection 20BM (5) authorising the detention of a person
Commonwealth of Australia
WARRANT UNDER SUBSECTION 20BM (5) AUTHORISING THE DETENTION OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , 4 , a prescribed authority under Part 1B of the Crimes Act 1914 :
(a) under paragraph 20BM (5) (c) of that Act authorise those members in 1
to take 5 to 2 in 1
and deliver *him/*her to the officer in charge of that *prison/*hospital, together with this warrant; and
(b) under paragraph 20BM (5) (d) of that Act direct
the officer in charge
of
2
in
1 to
receive
5 into your custody and detain *him/*her for the period
of
6 .
This warrant is issued because:
(a) the Attorney‑General under subsection 20BM (1) of the Crimes Act 1914 has revoked the release order relating to 5 ; and
(b) I am satisfied that:
(i) 5 is the person named in the instrument revoking the release order; and
(ii) the release order has been revoked and the revocation is still in force.
Dated 7 .
8
4
1 insert State or Territory
2 insert name of prison or hospital
3 insert full name of prescribed authority
4 insert designation of prescribed authority
5 insert full name of person
6 insert period
7 insert date
8 signature of prescribed authority
* omit if inapplicable
Form 18 Warrant under subsection 20BM (6) authorising the remand of a person
Commonwealth of Australia
WARRANT UNDER SUBSECTION 20BM (6) AUTHORISING THE REMAND OF A PERSON
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
AND to the officer in charge of 2 in 1 :
I, 3 , 4 , a prescribed authority under Part 1B of the Crimes Act 1914 :
(a) under subsection 20BM (6) of that Act authorise
those members
in
1 to
take
5
to
2 in 1
and
deliver *him/*her to the officer in charge of that *prison/*hospital, together
with this warrant; and
(b) authorise the officer in charge of 2 in 1
to
receive
5 into your custody and keep
*him/*her until
6 when you are to
have
5
brought before this court at 7 .
This warrant is issued on the basis that:
(a) 5 has been brought before me under subsection 20BM (4) of the Crimes Act 1914 ; and
(b) I have not completed the hearing under subsection 20BM (5) of that Act.
Dated 8 .
9
4
1 insert State or Territory
2 insert name of prison or hospital
3 insert full name of prescribed authority
4 insert designation of prescribed authority
5 insert full name of person
6 insert time and date
7 insert address of court
8 insert date
9 signature of prescribed authority
* omit if inapplicable
Form 19 Summons under *paragraph 20BW (1) (a)/*section 20BY
Commonwealth of Australia
SUMMONS UNDER *PARAGRAPH 20BW (1) (a)/*SECTION 20BY
IN THE 1
AT 2
IN THE *STATE OF 3
(Informant)
‑and‑
(Defendant)
To: 4
You are summoned under *paragraph 20BW (1) (a)/*section 20BY of the Crimes Act 1914 to appear before the 5 at 6
at 7 to answer the information alleging the breach of the following *condition/*conditions of the order under section *20BV/*20BY of that Act:
(a) 8 ; and
(b) 8 ;
and to be further dealt with according to law.
Dated 9 .
10
11
1 insert name of court
2 insert location of court
3 insert State or Territory
4 insert name of person
5 insert name of court
6 insert address of court
7 insert time and date
8 list details of alleged breaches of conditions
9 insert date
10 signature of magistrate
11 designation of magistrate
* omit if inapplicable
Form 20 Warrant for arrest under *paragraph 20BW (1) (b)/*section 20BY
Commonwealth of Australia
Crimes Act 191 4
WARRANT FOR ARREST UNDER *PARAGRAPH 20BW (1) (b)/*SECTION 20BY
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
I, 2 , 3 :
(a) under *paragraph 20BW (1) (b)/*section 20BY of the Crimes Act 1914 , authorise and request you to arrest 4 and bring *him/*her, as soon as practicable, before this court; and
(b) authorise you to detain 4 in custody until dealt with according to law.
This warrant is issued because:
(a) an order under section *20BV/*20BY of the Crimes Act 1914 has been made in relation to 4 ; and
(b) information has been laid on oath before me of the following *breach/*breaches of the conditions of the order:
(i) 5 ; and
(ii) 5 ; and
(c) I am of the opinion that proceedings against 4 by summons might not be effective.
Dated 6 .
7
4
1 insert State or Territory
2 insert full name of magistrate
3 insert designation of magistrate
4 insert full name of person
5 list details of alleged breaches of conditions
6 insert date
7 signature of magistrate
* omit if inapplicable
Form 21 Warrant of arrest under *subsection 20BW (2)/*section 20BY
Commonwealth of Australia
WARRANT OF ARREST UNDER *SUBSECTION 20BW (2)/
*SECTION 20BY
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of 1 :
I, 2 , 3 :
(a) under subsection 20BW (2)/*section 20BY of the Crimes Act 1914 , authorise and request you to arrest 4 and to bring *him/*her, as soon as practicable, before this court; and
(b) under *subsection 20BW (3)/*section 20BY of that Act, authorise you to detain 4 in custody until *he/*she is released by order of this court or under subsection 20BW (4) of that Act.
This warrant is issued because 4
* is a person who has been served with a summons issued under *subsection 20BW (1)/*section 20BY of the Crimes Act 1914 and *he/*she failed to attend before the court as required by the summons.
* is a person who has been admitted to bail under *subsection 20BW (4)/*section 20BY of the Crimes Act 1914 and *he/*she failed to attend before the court as required by the conditions of the bail.
Dated 5 .
6
3
1 insert State or Territory
2 insert full name of magistrate
3 insert designation of magistrate
4 insert full name of person
5 insert date
6 signature of magistrate
* omit if inapplicable
Form 22 Certificate under subsection 21B (3)
Commonwealth of Australia
CERTIFICATE UNDER SUBSECTION 21B (3)
IN THE 1
AT 2
IN THE *STATE OF 3
BETWEEN:
(Informant)
‑and‑
(Defendant)
I, 4 , 5 , hereby certify that on
6 the court ordered that the defendant is to pay $ 7
to 8 by 9 .
Dated 10 .
11
5
1 insert name of court
2 insert location of court
3 insert State or Territory
4 insert full name of clerk or appropriate officer
5 insert designation of officer
6 insert date of order
7 insert amount
8 insert to whom amount is to be paid
9 insert date by which amount is to be paid
10 insert date
11 signature of clerk or appropriate officer
* omit if inapplicable