Form 5—Warrant for provisional arrestForm 5—Warrant for provisional arrest

Form 5—Warrant for provisional arrest

Commonwealth of Australia

International Criminal Court Act 2002

Warrant for provisional arrest under subsection 21(2)

To all police officers within the meaning of the International Criminal Court Act 2002 (the Act):

Because:

(a) the Attorney‑General of the Commonwealth of Australia has given a notice under subsection 21(1) of the Act stating that a request has been received from the International Criminal Court for the provisional arrest of [insert name of person]; and

(b) an application has been made on behalf of the International Criminal Court under subsection 21(2) of the Act for issue of a warrant according to the notice;

I, [insert name and designation of magistrate], under subsection 21(2) of the Act, authorise you to arrest [insert name of person] and to bring [him/her*], as soon as practicable, before a magistrate in the State or Territory in which [he/she*] is arrested to be dealt with according to law.

Dated

..........................................................

[Signature and designation of magistrate issuing warrant]

* delete as the case requires