Form 4—Warrant for arrest where parole oForm 4—Warrant for arrest where parole order or licence has been revoked

## Form 4—Warrant for arrest where parole order or licence has been revoked Commonwealth of Australia Crimes Act 1914 WARRANT FOR ARREST UNDER SUBSECTION 19AV(2) TO: \*all members and special members of the Australian Federal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 Part IB of the Crimes Act 1914, under subsection 19AV(2) of that Act, authorise and request you to arrest 4 and bring that person, as soon as practicable, before a magistrate in the \*State/\*Territory in which that person 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Act 1914 for the issue of this warrant; and (b) I am satisfied that the \*parole order/\*licence relating to 4 has been revoked under section 19AU of that Act. 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