Form 4	Application to amend or cancel registration of corresponding prohibition order
Crimes (Child Sex Offenders) Act 2005
(see s 132R (Application to amend or cancel registration of registered corresponding prohibition order))
In the Magistrates Court of the Australian Capital Territory
AP ........../......................(Court to complete)

Applicant		(applicant’s full name)

Respondent		(respondent’s full name)

*To: (respondent’s full name) of (respondent’s address)
*And to: (name and address of anyone else the Court directs to be served)

Take notice that the Court will hear an application by (applicant’s full name) on (date) at (time) (or as soon after that as this application can be heard) to make the following orders:
1	(set out briefly orders sought and each party affected by the orders);
2	any other orders that the Court considers appropriate.

Registered corresponding prohibition order
3	This application relates to the corresponding prohibition order registered on (date).

Application for leave
4	Is leave required to bring this application?
□	no 
Note	A person does not need leave to apply if the prohibition order, or interim prohibition order, was made in the person’s absence—see the Crimes (Child Sex Offenders) Act 2005, s 132R (2).
□	yes

5	*I, (applicant’s full name), the *[person to whom the registered corresponding prohibition order applies/chief police officer] apply for leave to apply for an order to *[amend/cancel] the registration of the corresponding prohibition order.

6	*Leave is sought on the following grounds:
(a)	*it is in the interests of justice that leave is granted because the following changes to *[my circumstances/the person’s circumstances] have happened since the order was made or last amended by the Court:
	(insert details of the changed circumstances that are relevant including the date when the circumstances changed)
(b)	*it is appropriate on the following compassionate grounds including; 
	(insert details of the compassionate grounds including any culturally specific needs of the person)

Grounds for application
7	*(If leave is not required) I, (applicant’s full name), the *[person to whom the registered corresponding prohibition order applies/chief police officer] apply for an order to *[amend/cancel] the registration of the corresponding prohibition order.
	*(If leave is required) I apply for an order to *[amend/cancel] the registration of the corresponding prohibition order.

8	The order is sought on the following grounds:
(a)	because the following changes to *[my circumstances/the person’s circumstances] have happened since the registered corresponding prohibition order was made or last amended by the Court:
	(insert details of matters that are relevant to the Court’s decision, including changed circumstances and the date when the circumstances changed)
Note 1	The Crimes (Child Sex Offenders) Act 2005, s 132S sets out matters that the Court must have regard to in amending or cancelling the registration of a corresponding prohibition order for a person including—
•	the matters mentioned in s 132D; and
•	changes to the person’s circumstances since the registered corresponding prohibition order was made or last amended by the Court
Note 2	The Crimes (Child Sex Offenders) Act 2005, s 132D provides that the Court may make an order for a person if satisfied that—
•	the person is a registrable offender; and
•	the person has engaged in conduct stated in the application for the order; and
•	having regard to the nature or pattern of the conduct engaged in—
(i)	the person poses a risk to the lives or sexual safety of 1 or more children or of children generally; and
(ii)	the making of the order will reduce the risk; and
•	the order is appropriate having regard to the matters mentioned in s 132E.
Note 3	The Crimes (Child Sex Offenders) Act 2005, s 132E sets out the matters that the Court must consider before making a prohibition order for a person.
(b)	*(for an applicant who is required to seek leave to apply) the matters mentioned in paragraph 6.

Date:

*[signature of applicant/representative]

*omit if, or whichever is, inapplicable