Approved form 2001-18

made under the
Drugs of Dependence Act 1989

Drugs of Dependence Act 1989—Form 5
(see s 122)

Australian Capital Territory

Drugs of Dependence Act 1989

Assessment order
In the (Court) at Canberra.
Offender’s name and address:
Offender’s date of birth:
Offence proved against offender:
I certify that the requirements of section 122 have been met in respect of the offender.
I order that the offender submit *himself/*herself for assessment:
•	by the panel convened for the purpose by the Minister; and
•	if so required by that panel, at an approved treatment centre or centres;
at the time and place notified to the offender by the panel.
Dated                                     20    .
		
	*Judge of the Supreme Court
	*Magistrate
*Delete where inapplicable

Endnotes
1	This form was originally in the Drugs of Dependence Act 1989, schedule 4.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from that schedule and became a form approved under the Drugs of Dependence Act 1989, section 205 (see amdts 1.1222 and 1.2223).
2	This republication includes amendments made under the Legislation Act 2001, part 11.3 (Editorial changes).

©  Australian Capital Territory 2001