Form 5	Arrest and removal order
Crimes (Forensic Procedures) Act 2000
(see s 40A (Magistrate may order arrest etc of suspect not in custody for carrying out forensic procedure))

In the *[Magistrates/Childrens] Court of the Australian Capital Territory
Criminal jurisdiction
No *[KP/CP]		of (year) (Court to complete)

The Court orders that:
1. The person named in this order (the suspect) be arrested for the purpose of carrying out a forensic procedure under the Crimes (Forensic Procedures) Act 2000, part 2.5 (Forensic procedures on suspect by order of magistrate).
2. The suspect be taken to (insert place where forensic procedure is to be carried out) for the forensic procedure to be carried out on the suspect.

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

Reason for arrest and removal
The suspect is not in custody.
On (date) the court ordered that the following forensic procedure be carried out on the suspect:
(state briefly the forensic procedure ordered to be carried out)
*I am satisfied that the arrest is necessary to ensure that the forensic procedure will be carried out. 
*I am satisfied that the suspect might destroy evidence that might be obtained by carrying out the forensic procedure. 
*I am satisfied that the order is justified for the following reasons: 
(briefly state reasons for justification) 

Date:
Magistrate:

*omit if, or whichever is, inapplicable