Document ID: chunk:federal_register_of_legislation:F2023L01628:clause:1_11
Version: federal_register_of_legislation:F2023L01628
Segment Type: clause
Provision Reference: sch 1 cl 11
Character Range: 49857–50629

11  Schedule 1 (after Form 5B)
Insert:

Form 5C—Warrant for entry on premises and interception of communications for community safety supervision orders
Commonwealth of Australia

Telecommunications (Interception and Access) Act 1979
WARRANT FOR ENTRY ON PREMISES AND INTERCEPTION OF COMMUNICATIONS FOR COMMUNITY SAFETY SUPERVISION ORDER

Premises                    [description and location of premises, including business name, operating name, other known names and other known identifying information]
Telecommunications service  [number assigned to the service; any other known unique identifying factors]
Particular person           [full known name, other known names, other known identifying information (e.g. date of birth)]
Applicant agency            [name]