[Heading inserted: Gazette 31 Jul 2007
p. 3797.]
Form 1 — Application for a Search Warrant
Form
2 — Search Warrant
Form 3 — Notice to Occupier
of Premises
Form 1
Western Australia
[Reg. 2]
Criminal Investigation (Extra‑territorial Offences) Act 1987
[s. 4]
Criminal Investigation (Extra‑territorial Offences)
Regulations 1989
APPLICATION FOR A SEARCH WARRANT
I, (1) of (2)
(3) , a member of the Police Force in the
State, say on oath this day of
, 20 , before the undersigned, a Justice of the Peace, that there are
reasonable grounds as follows to believe —
(a) that an offence to which the Criminal
Investigation (Extra‑territorial Offences) Act 1987 applies has
been, or is intended to be, committed; and
(b) that there is at the premises, namely (4) ,
situated at (5) , an object relevant to the investigation of that offence.
The grounds of this application for a search warrant are —
(6)
Therefore, I ask that a search warrant be issued under section 4(1) of
the Act.
Signature of applicant.
Sworn before me on the abovementioned date at in
the State.
Justice of the Peace.
(1) Insert full name of applicant.
(2) Insert applicant’s address.
(3)
Insert applicant’s rank.
(4) Insert description of premises.
(5) Insert
address of premises.
(6) Insert grounds relied upon.
[Form 1 amened: Gazette 31 Jul 2007
p. 3797.]
Form 2
Western Australia
[Reg. 2]
Criminal Investigation (Extra‑territorial Offences) Act 1987
[s. 4]
Criminal Investigation (Extra‑territorial Offences)
Regulations 1989
SEARCH WARRANT
To (1) , a
member of the Police Force at
in the State, and all other members of the
Police Force.
WHEREAS I, (2) , a Justice of the Peace, am satisfied, upon the application
of (3)
of (4) , a member of the Police
Force, that there are reasonable grounds to believe —
(a) that an offence to which the Criminal
Investigation (Extra‑territorial Offences) Act 1987 applies has
been, or is intended to be, committed; and
(b) that there is at the premises, namely (5) ,
situated at (6) , an object relevant to the investigation of that offence,
I authorise you in the name of the State, with such assistants as you think
necessary, to enter and search the premises described and anything in those
premises.
Directions for execution at night (if any):
Given under my hand at in the State, at a.m./p.m.
this day of 20 .
Justice of the Peace.
(1) Insert name of Police Officer.
(2) Insert full name of Justice of the
Peace.
(3) Insert name of applicant.
(4) Insert address of applicant.
(5)
Insert description of premises.
(6) Insert address of premises.
[Form 2 amened: Gazette 19 Apr 2005
p. 1295; 31 Jul 2007 p. 3797.]
Form 3
Western Australia
[s. 5(6); reg. 2]
Criminal Investigation (Extra‑territorial Offences) Act 1987
[s. 5]
Criminal Investigation (Extra‑territorial Offences)
Regulations 1989
NOTICE TO OCCUPIER OF PREMISES
To: The occupier of premises situated at (1)
I, (2) , a member of the Police Force, notify you that I executed a search
warrant,
issued at a.m./p.m. on the
day of
, 20 , by (3)
, and seized and removed the following objects —
Dated this day of , 20
.
Signature.
(1) Insert address of premises.
(2) Insert full name and rank.
(3) Insert full
name of Justice of the Peace who issued the search warrant.