Document ID: chunk:federal_register_of_legislation:F2021C00429:clause:1_4
Version: federal_register_of_legislation:F2021C00429
Segment Type: clause
Provision Reference: sch 1 cl 4
Character Range: 95249–96498

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 for arrest in relation to breach of psychiatric probation order or program probation order

Commonwealth of Australia

Crimes Act 1914

WARRANT FOR ARREST UNDER SUBSECTION 20BW(2)
TO: *all members and special members of the Australian Federal Police:/*all members of the police force of              1:
I, 2, 3, under subsection 20BW(2) of the Crimes Act 1914:
      (a) authorise and request you to arrest   4 and bring that person, 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 4
* is a person who has been served with a summons issued under subsection 20BW(1) of the Crimes Act 1914 and who has failed to attend before the court as required by the summons.
* is a person who has been admitted to bail under subsection 20BW(4) of the Crimes Act 1914 and who has failed to attend before the court as required by the conditions of the bail.
Dated 5.
6