Form 5	Warrant—offender in custody
Crimes Act 1914 (Cwlth)
(see s 23XWOA (Securing the presence of offender at hearing—offender 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 person detaining the suspect under Commonwealth, State or Territory law), a person detaining the person named in this warrant (the offender) under Commonwealth, State or Territory law (the original custody):
You are authorised and directed to deliver the offender into the temporary custody of the constable executing this warrant for hearing of an application under the Crimes Act 1914 (Cwlth), section 23XWO (Judge or magistrate order for carrying out forensic procedure on offender).

To (insert full name of constable applying for the warrant), a constable, who is the executing officer for this warrant:
You must deliver the offender and bring the offender before the Court at *[ACT Law Courts/Magistrates Court Building], Knowles Place, Canberra on (insert date) at (insert time) 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 in custody or is otherwise detained under Commonwealth, State or Territory law and is required to appear before the Court for the hearing of an application under the Crimes Act 1914 (Cwlth), section 23XWO (Judge or magistrate order for carrying out forensic procedure on offender). 

Date:
*[Judge / Magistrate]:

*omit if, or whichever is, inapplicable