Form 4—Warrant for arrest where parole oForm 4—Warrant for arrest where parole order or licence has been revoked

Form 4—Warrant for arrest where parole order or licence has been revoked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(b) I am satisfied that the *parole order/*licence relating to 4 has been revoked under section 19AU of that Act.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