Form 4	Warrant—offender not in custody
Crimes Act 1914 (Cwlth)
(see s 23XWOB (Securing the presence of offender at hearing—offender not in custody)

In the *[Supreme/Magistrates/Childrens] Court of the Australian Capital Territory
Criminal jurisdiction

No *[SCC/KP/CP] 		of (year)

Authority and directions
To (insert full name of constable applying for the warrant), a constable, who is the executing officer for this warrant:
You, or any other constable are authorised and directed to arrest the person named in this warrant (the offender) and bring the offender before me at the Court at *[ACT Law Courts/Magistrates Court Building], Knowles Place, Canberra for the hearing of an application under the Crimes Act 1914 (Cwlth), section 23XWO.

Details of offender
Name:
Address:
Date of birth (if known):

Reason for warrant
The offender is not in custody.
*I am satisfied that the arrest is necessary to ensure the appearance of the offender at the hearing of an application made under the Crimes Act 1914 (Cwlth), section 23XWO (Judge or magistrate order for carrying out forensic procedure on offender).
*I am satisfied that the offender might destroy evidence that might be obtained by carrying out the forensic procedure sought under the Crimes Act 1914 (Cwlth), section 23XWO (Judge or magistrate order for carrying out forensic procedure on offender).
*I am satisfied that the issue of the warrant is justified for the following reasons:
(briefly state reasons for justification)

Date:
*[Judge / Magistrate]:

*omit if, or whichever is, inapplicable