Gambling Regulation Act 2003
Sch 4Forms for Chapter 2
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Schedule 4—Forms for Chapter 2
Sch. 4 Form 1 amended by Nos 37/2014 s. 10(Sch. item 72.24(a)), 56/2014 s. 51(1), 6/2018 s. 68(Sch. 2 item 59.4), 33/2018 s. 92.
Form 1
Section 2.5.21(2)
Special Warrant
To , a police officer and to all other police officers.
WHEREAS it appears to me , a magistrate, by the evidence on oath or by affirmation or by affidavit of [insert name, address and occupation of informant] that there is reason to suspect that the place known as [insert a description of the place by which it may be readily known and found] [is provided for the purposes of unauthorised gambling/contains equipment for unauthorised gambling], this warrant authorises and directs you—
(a) to enter and re-enter the place as often as and with any assistants that may be found necessary, and if necessary to use force for making the entry or re‑entry, whether by breaking open doors or otherwise; and
(b) to arrest, search and bring before a bail justice or the Magistrates' Court to be dealt with according to law all persons found in the place or entering or leaving it; and
(c) to diligently search all parts of the place where you suspect that equipment for unauthorised gambling is concealed; and
(d) to seize and bring before a bail justice or the Magistrates' Court to be dealt with according to law all equipment for unauthorised gambling and all money and securities for money found in the place or on any such person.
Dated at on: .
Signature of Magistrate
Sch. 4 Form 2 amended by No. 37/2014 s. 10(Sch. item 72.24(a)), repealed by No. 56/2014 s. 51(2).
Sch. 4 Form 3 amended by Nos 37/2014 s. 10(Sch. item 72.24(b)), 56/2014 s. 51(3), 38/2017 s. 86(4), 23/2025 s. 74(Sch. 1 item 2.72).
Form 3
Section 2.5.40
Warrant to Imprison
To , a police officer and to the Governor of [insert name and address of prison].
WHEREAS on , [insert name(s) and address(es) of person(s) to be imprisoned] was/were brought before by a police officer and was/were so brought as a person/persons found in/entering/leaving a place entered by virtue of a warrant under the Gambling Regulation Act 2003 [or as a person/persons arrested under the Gambling Regulation Act 2003, as a person (persons) found in (or on or entering or leaving) a place].
This warrant commands [insert name of police officer] to take [insert name(s) of prisoner(s)] to [] and there to deliver the person/persons to the Governor of that prison together with this warrant.