Western Australian Current Regulations

PROSTITUTION (RESTRAINING ORDERS) REGULATIONS 2000 - SCHEDULE 1

[r. 3]

Form	Title	Section
1	Application for prostitution restraining order         Court copy (front and back)         Applicant’s copy         Copy for person to be restrained         Proof of service copy (front and back)	38
2	Prostitution restraining order under section 37 Record of proceedings         Court copy	37
3	Prostitution restraining order         Court copy         Respondent’s copy (front and back)         Police copy (front and back)         Proof of service copy (front and back)	40
4	Application for leave to apply to vary or cancel a prostitution restraining order         Court copy (front and back)         Restrained person’s copy (front and back)         Respondent’s copy         Proof of service copy (front and back)	42
5	Affidavit in support of application for leave to apply vary or cancel a prostitution restraining order	42
6	Application to vary or cancel a prostitution restraining order         Court copy (front and back)         Copy for person applying to vary or cancel         Other party’s copy	42

Prostitution Act 2000 Application for a prostitution restraining order				Number
				Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
				Location
Applicant	Name         on behalf of the Commissioner of Police
	Regimental no.
	Police station/division
	Phone no.
Person to be restrained (Fill in as many details as known)	Family name						Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         location Address         street         Suburb         postcode
	Phone nos.         work         home
Grounds for application	I suspect that the person to be restrained — ❒         has committed an offence in a public place ❒         intends to commit an offence in a public place
	Offence
	Public place
Directions given under s. 26 of Act	Date	Given by (name & regimental no.)				Given at (place)
Applicant	Signature							Date
Hearing (To by filled in by the court)	Court				Date			Time
	Signature of registrar

Court copy

Record of Proceedings
Date	Attendance			Representation			Adjournments
	Applicant	Person to be restrained		Applicant	Person to be restrained
Orders
____________________________         _________________         __________________ Judicial Officer         Date         Time
Clerk’s record

Back of court copy

Prostitution Act 2000 Application for a prostitution restraining order				Number
				Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
				Location
Applicant	Name         on behalf of the Commissioner of Police
	Regimental no.
	Police station/division
	Phone no.
Person to be restrained (Fill in as many details as known)	Family name						Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         location Address         street         Suburb         postcode
	Phone nos.         work         home
Grounds for application	I suspect that the person to be restrained — ❒         has committed an offence in a public place ❒         intends to commit an offence in a public place
	Offence
	Public place
Directions given under s. 26 of Act	Date	Given by (name & regimental no.)				Given at (place)
Applicant	Signature							Date
Hearing (To by filled in by the court)	Court				Date			Time
	Signature of registrar

Applicant’s copy

Prostitution Act 2000 Application for a prostitution restraining order				Number
				Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
				Location
Applicant	Name         on behalf of the Commissioner of Police
	Regimental no.
	Police station/division
	Phone no.
Person to be restrained (Fill in as many details as known)	Family name						Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         location Address         street         Suburb         postcode
	Phone nos.         work         home
Grounds for application	I suspect that the person to be restrained — ❒         has committed an offence in a public place ❒         intends to commit an offence in a public place
	Offence
	Public place
Directions given under s. 26 of Act	Date	Given by (name & regimental no.)				Given at (place)
Applicant	Signature							Date
Hearing (To by filled in by the court)	Court				Date			Time
	Signature of registrar

An application for a restraining order has been made against you. The details of the application are set out above. You are required to attend a court hearing on this matter at the place and time set out above. If you do not attend the court hearing a restraining order may be made against you in your absence. A restraining order may prohibit you from going to certain places or doing certain things, or impose restrictions on the places where you may go and the things that you may do.

Copy for person to be restrained

Prostitution Act 2000 Application for a prostitution restraining order				Number
				Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
				Location
Applicant	Name         on behalf of the Commissioner of Police
	Regimental no.
	Police station/division
	Phone no.
Person to be restrained (Fill in as many details as known)	Family name						Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         location Address         street         Suburb         postcode
	Phone nos.         work         home
Grounds for application	I suspect that the person to be restrained — ❒         has committed an offence in a public place ❒         intends to commit an offence in a public place
	Offence
	Public place
Directions given under s. 26 of Act	Date	Given by (name & regimental no.)				Given at (place)
Applicant	Signature							Date
Hearing (To by filled in by the court)	Court				Date			Time
	Signature of registrar

Proof of service copy

Certificate of service
Officer serving application	Name
	Regimental no.
	Police station/division
Service	Method of service          ❒  personal         ❒  by post
	Place where order served
	Date of service	Time of service
Person served (If possible to obtain)	Name
	Address         street         Suburb         postcode
	Signature
Certificate	I certify that on the day and at the time and place set out above         ❒         I personally served this application on the person to be restrained         ❒         I sent this application by prepaid registered post to the person to be restrained at the address set out above in accordance with the Prostitution (Restraining Orders) Regulations 2000.
	Signature		Date

Back of proof of service copy

Prostitution Act 2000 Prostitution restraining order under s. 39 Record of proceedings			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court         ❒ Other _____________
			Location
Application	Order made         ❒         by the court of its own motion         ❒         at request of _________________________________
Person to be restrained (Fill in as many details as known)	Family name			Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         location Address         street         Suburb         postcode
	Phone nos.         work         home
Grounds for order	Offence         ❒ s. 5 — seeking prostitution in public place         ❒ s. 6  — seeking client in public place         ❒ prescribed ‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑offence ‑‑______________________________
	Place offence occurred
	Date of offence
	Grounds on which court considers offender is likely to commit a similar offence

Witnesses and summary of evidence	Police Person to be restrained Other witnesses
Other notes

Terms of the order
Order made	Date order made	Time order made
Registrar			Date

Court copy

Prostitution Act 2000 Prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court         ❒ Other ______________
			Location
Restrained person	Family name					Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         street Address         suburb         postcode
	Phone nos.         work         home
Terms of the order
Order made	Date			Time
Registrar	Signature				Date

Court copy

Prostitution Act 2000 Prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court         ❒ Other ______________
			Location
Restrained person	Family name					Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         street Address         suburb         postcode
	Phone nos.         work         home
Terms of the order
Order made	Date			Time
Registrar	Signature				Date

Restrained person’s copy

IMPORTANT INFORMATION

Prostitution restraining order

A restraining order has been made against you on the terms set out on the front of this order. It will take effect when it is served on you and it will remain in force until it expires or is varied or cancelled by a court. You must comply with this order at all times while it is in force. If there is a duration specified in the order, the order expires at the end of the specified period. If there is no duration specified in the order, it expires 1 year after it was served on you. If, in the future, there is a substantial change in the circumstances which led to the order being made you may apply to the court for leave to apply to have the order varied or cancelled. If you would like more information about doing this you should consult your lawyer or the registrar of the court. Penalty It is an offence to breach this restraining order. If you do, you may be arrested and will face a penalty of up to $5 000.

Back of restrained person’s copy

Prostitution Act 2000 Prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court         ❒ Other ______________
			Location
Restrained person	Family name					Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         street Address         suburb         postcode
	Phone nos.         work         home
Terms of the order
Order made	Date			Time
Registrar	Signature				Date

Police copy

Certificate of service
Officer serving order	Name
	Regimental no.
	Police station/division
Service	Method of service          ❒  personal         ❒  oral         ❒  substituted
	Place where order served
	Date of service	Time of service
Person served (If possible to obtain)	Name
	Address         street         Suburb         postcode
	Signature
Certificate	I certify that on the day and at the time and place set out above         ❒         I personally served this order on the restrained person         ❒         I orally served this order on the restrained person         ❒         I took the steps directed by the court to effect substituted service of this order on the restrained person in accordance with the Prostitution (Restraining Orders) Regulations 2000 , and in the case of oral service I also certify that the restrained person appeared to understand what was said.
	Signature		Date

Back of police copy

Prostitution Act 2000 Prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court         ❒ Other ______________
			Location
Restrained person	Family name					Date of birth
	Other names
	Home         street address         suburb         postcode
	Work         street Address         suburb         postcode
	Phone nos.         work         home
Terms of the order
Order made	Date			Time
Registrar	Signature				Date

Proof of service copy

Certificate of service
Officer serving order	Name
	Regimental no.
	Police station/division
Service	Method of service          ❒  personal         ❒  oral         ❒  substituted
	Place where order served
	Date of service	Time of service
Person served (If possible to obtain)	Name
	Address         street         Suburb         postcode
	Signature
Certificate	I certify that on the day and at the time and place set out above         ❒         I personally served this order on the restrained person         ❒         I orally served this order on the restrained person         ❒         I took the steps directed by the court to effect substituted service of this order on the restrained person in accordance with the Prostitution (Restraining Orders) Regulations 2000 , and in the case of oral service I also certify that the restrained person appeared to understand what was said.
	Signature		Date

Back of proof of service copy

Prostitution Act 2000 Application for leave to apply to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Court of Petty Sessions         ❒ Children’s Court
			Location
Restrained person	Family name
	Other names
	Address         street         Suburb         postcode
	Phone nos.         work         home
Restraining order	Date order was made
	Restraining Order no.
Substantial changes	What circumstances have substantially changed since the order was made?
Variation or cancellation	Do you want the order to be         ❒  cancelled         ❒  varied If varied, what do you want changed?
Grounds for variation or cancellation	Why do you want the restraining order varied or cancelled?
Person applying for leave	Signature				Date
Hearing (To be filled in by the court)	Court			Date		Time
	Signature of registrar

Court copy

Record of Proceedings
Date	Attendance			Representation			Adjournments
	Applicant	Person to be restrained		Applicant	Person to be restrained
Orders
____________________________         _________________         __________________ Judicial Officer         Date         Time
Clerk’s record

Back of court copy

Prostitution Act 2000 Application for leave to apply to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Court of Petty Sessions         ❒ Children’s Court
			Location
Restrained person	Family name
	Other names
	Address         street         Suburb         postcode
	Phone nos.         work         home
Restraining order	Date order was made
	Restraining Order no.
Substantial changes	What circumstances have substantially changed since the order was made?
Variation or cancellation	Do you want the order to be         ❒  cancelled         ❒  varied If varied, what do you want changed?
Grounds for variation or cancellation	Why do you want the restraining order varied or cancelled?
Person applying for leave	Signature				Date
Hearing (To be filled in by the court)	Court			Date		Time
	Signature of registrar

Restrained person’s copy

IMPORTANT INFORMATION

Application for leave to apply to vary or cancel

As the restrained person, before you are allowed to apply to vary or cancel the restraining order you must apply for leave to make that application. When you file your application for leave you must also file an affidavit setting out all the facts that you know about that are material to the application — this includes all the facts that may go against your application as well as the ones that support it. If you do not do this the court may reject your application. At the hearing of the application for leave you must convince the court that there has been a substantial change in the relevant circumstances since the restraining order was made. If the court is not satisfied that there has been a substantial change of circumstances your application for leave will be dismissed If the court is satisfied that there has been a substantial change of circumstances it will order you to serve a copy of this application on the person who originally applied for the restraining order (this will usually be the Commissioner of Police). That person will then be able to attend court to oppose your application for leave if he or she wishes to do so. If the court grants you leave, you must then lodge an application to vary or cancel the restraining order. If you do not attend the hearing of your application for leave, your application may be dismissed.

Back of restrained person’s copy

This form must not be served until service is ordered by the Court

Prostitution Act 2000 Application for leave to apply to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Court of Petty Sessions         ❒ Children’s Court
			Location
Restrained person	Family name
	Other names
	Address         street         Suburb         postcode
	Phone nos.         work         home
Restraining order	Date order was made
	Restraining Order no.
Substantial changes	What circumstances have substantially changed since the order was made?
Variation or cancellation	Do you want the order to be         ❒  cancelled         ❒  varied If varied, what do you want changed?
Grounds for variation or cancellation	Why do you want the restraining order varied or cancelled?
Person applying for leave	Signature				Date
Hearing (To be filled in by the court)	Court			Date		Time
	Signature of registrar

Respondent’s copy

This form must not be lodged until application has been served on the Respondent

Prostitution Act 2000 Application for leave to apply to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Court of Petty Sessions         ❒ Children’s Court
			Location
Restrained person	Family name
	Other names
	Address         street         Suburb         postcode
	Phone nos.         work         home
Restraining order	Date order was made
	Restraining Order no.
Substantial changes	What circumstances have substantially changed since the order was made?
Variation or cancellation	Do you want the order to be         ❒  cancelled         ❒  varied If varied, what do you want changed?
Grounds for variation or cancellation	Why do you want the restraining order varied or cancelled?
Person applying for leave	Signature				Date
Hearing (To be filled in by the court)	Court			Date		Time
	Signature of registrar

Proof of service copy

Certificate of service
Person serving application	Name
	Home         street address         suburb         postcode
Service	Method of service          ❒  personal         ❒  by post
	Place where order served
	Date of service	Time of service
Person served (If possible to obtain)	Name
	Regimental no.
	Police station/division
	Signature
Certificate	I certify that on the day and at the time and place set out above         ❒         I personally served this application on the person named above         ❒         I sent this application by prepaid registered post to the person named above at the police station/division referred to above in accordance with the Prostitution (Restraining Orders) Regulations 2000.
	Signature		Date

Back of proof of service copy

Prostitution Act 2000 Affidavit in support of application for leave to apply to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
			Location
Person making affidavit	Family name			Date of birth
	Other names
	Home         street address         suburb         postcode
Affidavit NOTE You must set out ALL the relevant circumstances — this includes things that may go against your application as well as those that support it. (Add extra pages if required)	I make oath and swear that since the restraining order was made the relevant circumstances have changed as follows — 1. 2. 3. 4. 5. 6.
Sworn before a Justice of the Peace	Signature         Date
	Justice of the Peace         Signature         Name

Prostitution Act 2000 Application to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
			Location
Applicant	❒ Police officer nominated by the Commissioner of Police
	Name
	Regimental no.
	Police station/division
	Phone no.
	❒ Restrained person
Restrained person	Family name
	Other names
	Address         street         Suburb         postcode
	Phone nos.         work         home
Restraining order Leave	Date order was made
	Restraining Order no.
	Date leave to apply to vary was granted (if application is by restrained person)
Variation or cancellation	Do you want the order to be         ❒  cancelled         ❒  varied If varied, what do you want changed?
Grounds for variation or cancellation	Why do you want the restraining order to be varied or cancelled?
Signature of applicant					Date
Hearing (To be filled in by the court)	Court			Date	Time
	Signature of registrar

Court copy

Record of Proceedings
Date	Attendance			Representation			Adjournments
	Applicant	Person to be restrained		Applicant	Person to be restrained
Orders
____________________________         _________________         __________________ Judicial Officer         Date         Time
Clerk’s record

Back of court copy

Prostitution Act 2000 Application to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
			Location
Applicant	❒ Police officer nominated by the Commissioner of Police
	Name
	Regimental no.
	Police station/division
	Phone no.
	❒ Restrained person
Restrained person	Family name
	Other names
	Address         street         Suburb         postcode
	Phone nos.         work         home
Restraining order Leave	Date order was made
	Restraining Order no.
	Date leave to apply to vary was granted (if application is by restrained person)
Variation or cancellation	Do you want the order to be         ❒  cancelled         ❒  varied If varied, what do you want changed?
Grounds for variation or cancellation	Why do you want the restraining order to be varied or cancelled?
Signature of applicant					Date
Hearing (To be filled in by the court)	Court			Date	Time
	Signature of registrar

Copy for person applying to vary or cancel

Prostitution Act 2000 Application to vary or cancel a prostitution restraining order			Number
			Jurisdiction         ❒ Magistrates Court         ❒ Children’s Court
			Location
Applicant	❒ Police officer nominated by the Commissioner of Police
	Name
	Regimental no.
	Police station/division
	Phone no.
	❒ Restrained person
Restrained person	Family name
	Other names
	Address         street         Suburb         postcode
	Phone nos.         work         home
Restraining order Leave	Date order was made
	Restraining Order no.
	Date leave to apply to vary was granted (if application is by restrained person)
Variation or cancellation	Do you want the order to be         ❒  cancelled         ❒  varied If varied, what do you want changed?
Grounds for variation or cancellation	Why do you want the restraining order to be varied or cancelled?
Signature of applicant					Date
Hearing (To be filled in by the court)	Court			Date	Time
	Signature of registrar

Other party’s copy

        [Schedule 1 amended: Gazette 31 Jul 2007 p. 3799.]