Victorian Numbered Regulations

SEVERE SUBSTANCE DEPENDENCE TREATMENT REGULATIONS 2011 (SR NO 5 OF 2011) - SCHEDULE 3

SCHEDULE 3

Sch. 3

Regulation 8

Severe Substance Dependence Treatment Act 2010
Section 13(2)

Severe Substance Dependence Treatment Regulations 2011

SPECIAL WARRANT

IN THE MAGISTRATES' COURT

OF VICTORIA AT [ venue ]             Court reference:

DETAILS OF PERSON TO BE EXAMINED

Name: [ full name of person who is to be examined ]

Date of birth:     Gender:

Address:     Telephone number:

To: [ name of a member of the police force ] or [ all members of the police force ]

You are authorised and directed, in the company of a prescribed registered medical practitioner to:

        (a)     subject to section 37 of the Act, enter the premises specified in the warrant; and

        (b)     to use such force as may be reasonably necessary to enable the prescribed registered medical practitioner to examine the person named in the warrant for the purposes of determining whether or not to make a recommendation under section 12 of the Severe Substance Dependence Treatment Act 2010 .

Magistrate: [ signature ]         Date:

Expiry date of warrant: [ section 13(4) ]

PLEASE NOTE: IF YOU ARE UNABLE TO EXECUTE THE WARRANT BY THE EXPIRY DATE YOU MUST RETURN THE UNEXECUTED WARRANT TO THE COURT.

*Delete if not applicable

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