Form 3	Warrant
Juries Act 1967
(see s 42B (1))

Authority and directions
To the Sheriff

You must apprehend the person named in this warrant and bring the person before the Supreme Court to be dealt with according to the law.

Personal details of person to be apprehended
Name:
Address:

Reason for apprehension of person
The person—
	was served with a jury summons on (date) and failed to attend in accordance with the summons.
	attended in accordance with a jury summons but left the court premises before being discharged or excused by a Judge or the Sheriff without the permission of the Sheriff.
	was appointed to attend to serve as a juror but left the court premises before being discharged or excused by a Judge or the Sheriff without the permission of the Sheriff.
	is a juror who left the court premises before being discharged or excused by a Judge or the Sheriff without the permission of the Sheriff.
	attended in accordance with a jury summons but failed to comply with the conditions imposed by a Judge or the Sheriff on the person before being excused by the Judge or Sheriff or permitted to leave the court premises by the Sheriff.
	was appointed to attend to serve as a juror but failed to comply with the conditions imposed by a Judge or the Sheriff on the person before being excused by the Judge or Sheriff or permitted to leave the court premises by the Sheriff.
	is a juror who failed to comply with the conditions imposed by a Judge or the Sheriff on the person before being excused by the Judge or Sheriff or permitted to leave the court premises by the Sheriff.

Date:
(signature of judge)

Justice of the Supreme Court