Western Australian Consolidated Regulations[r. 26]
[Heading inserted in Gazette 9 Dec 2005
p. 5888; amended in Gazette 1 Jun 2007 p. 2528.]
1 . Summons: Application for order
|
Community Protection (Offender Reporting) Act 2004 Summons Application for order |
ο Children’s Court ο District Court | ||
|
Location | |||
|
Number | |||
|
Respondent |
Name Date of birth ___/___/___ | ||
|
Address _______________________________________________ Postcode | |||
|
Phone no. | |||
|
Order sought |
The Commissioner of Police has applied to the court for the following order to
be made in respect of you — ❑ Past offender reporting order (s. 19
of Act) ❑ Child protection prohibition order
(s. 90 of Act) ❑ Interim protection order (s. 92 of
Act) | ||
|
Hearing |
You must attend the hearing at the day, time and place set | ||
|
Place | |||
|
Date _____/_____/20____ Time _____a.m./p.m. | |||
|
Issue of summons |
___________________________________ [Signature of Registrar] Date _____/_____/20____ |
||
|
For more information |
For more information about this matter contact: | ||
|
Name | |||
|
Position | |||
|
Phone no. Ref no. | |||
| | |||
|
Service certificate | |||
|
Person serving summons |
Name | ||
|
Address __________________________________________________ Postcode | |||
|
Service |
Method ❑ Handed
to respondent in person ❑ Posted to
respondent’s last known address ❑ Left at
respondent’s last known address | ||
|
Place [if applicable] | |||
|
Date _____/_____/20____ Time _____a.m./p.m. | |||
|
Certificate |
I certify that I served this summons on the respondent in the manner described
above. | ||
|
___________________________________ [Signature] Date ____/_____/20____ | |||
[Form 1 inserted in Gazette 9 Dec 2005
p. 5888‑9.]
2 . Summons: Further hearing after interim order
|
Community Protection (Offender Reporting) Act 2004 Summons Further hearing after interim order |
ο Children’s Court ο District Court | |
|
Location | ||
|
Number | ||
|
Respondent |
Name Date of birth
___/___/___ | |
|
Address __________________________________________________ Postcode | ||
|
Phone no. | ||
|
Order sought |
The Commissioner of Police has applied to the court for a child protection
prohibition order to be made in respect of you. An interim protection order was made on ___/____/20___. A further hearing will now be held at which the court will decide whether to
make a child protection prohibition order . | |
|
Hearing |
You must attend the hearing at the day, time and place set | |
|
Place | ||
|
Date _____/_____/20____ Time _____a.m./p.m. | ||
|
Issue of summons |
___________________________________ [Signature of Registrar] Date _____/_____/20____ |
|
|
For more information |
For more information about this matter contact: | |
|
Name | ||
|
Position | ||
|
Phone no. Ref no. | ||
| | ||
|
Service certificate | ||
|
Person serving summons |
Name | |
|
Address __________________________________________________ Postcode | ||
|
Service |
Method ❑ Handed
to respondent in person ❑ Posted to
respondent’s last known address ❑ Left at
respondent’s last known address | |
|
Place [if applicable] | ||
|
Date _____/_____/20____ Time _____a.m./p.m. | ||
|
Certificate |
I certify that I served this summons on the respondent in the manner described
above. | |
|
___________________________________ [Signature] Date ____/_____/20____ | ||
[Form 2 inserted in Gazette 9 Dec 2005
p. 5889‑90.]
3 . Summons: Application to vary or revoke child
protection prohibition order
|
Community Protection (Offender Reporting) Act 2004 |
ο Children’s Court ο District Court | |
|
Location | ||
|
Number | ||
|
Order |
Person subject to order | |
|
Date made _____/_____/20____ | ||
|
Expiry date _____/_____/20____ | ||
|
Applicant |
ο Commissioner of Police | |
|
Application |
ο To revoke order | |
|
Respondent |
ο Person subject to order | |
|
Address _______________________________________________ | ||
|
Phone no. | ||
|
Hearing |
You must attend the hearing at the day, time and place set | |
|
Place | ||
|
Date _____/_____/20____ Time _____a.m./p.m. | ||
|
Issue of summons |
___________________________________ | |
|
For more information |
For more information about this matter contact: | |
|
Name | ||
|
Position | ||
|
Phone no. Ref no. | ||
| | ||
|
Service certificate | |
|
Person serving summons |
Name |
|
Address _________________________________________________ | |
|
Service |
Method ❑ Handed
to respondent in person |
|
Place [if applicable] | |
|
Date _____/_____/20____ Time _____a.m./p.m. | |
|
Certificate |
I certify that I served this summons on the respondent in the manner described
above. |
|
___________________________________ | |
[Form 3 inserted in Gazette 9 Dec 2005
p. 5890‑1.]