Form 6	Summons to attend court—breach of good behaviour obligations
Crimes (Sentence Administration) Act 2005
(see s 106 (Good behaviour—summons to attend court))
In the *[Supreme/Magistrates] Court of the Australian Capital Territory
Criminal jurisdiction

No *[SCC/CC]			of (year)		

Direction
To the offender:
You are directed to appear before the Court at (insert address) on (insert date) at (insert time) to be dealt with under the Crimes (Sentence Administration) Act 2005, part 6.4 (Good behaviour––supervision).

Details of the offender
Name:
Address:

Reason for summons
The following information is before the Court alleging that you have breached your good behaviour obligations:

(state briefly the alleged information)

Note	The registrar of the Court must ensure that a copy of the summons is given to each interested person for the good behaviour order (see Crimes (Sentence Administration) Act 2005, s 106 (3)).

Date:
*[Magistrate/Registrar/Deputy Registrar]:

*omit if, or whichever is, inapplicable