PRISONERS (INTERSTATE TRANSFER) REGULATIONS 1984

Western Australian Current Regulations

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PRISONERS (INTERSTATE TRANSFER) REGULATIONS 1984 - SCHEDULE 1

[r. 5(1), 10, 13(1), 14(1), 15(1), 16, 17, 19, 20, 22, 24, 30, 31]

[Heading inserted: Gazette 9 May 2008 p. 1842.]

(1) Full name and aliases by which known.

Form 1

Request by a prisoner for transfer to a participating State for the prisoner’s welfare

( Prisoners (Interstate Transfer) Act 1983 — Section 5)

I, ⁽¹⁾
currently a prisoner held at
Prison in the State of Western Australia, hereby request, in the interests of my welfare, to be considered for transfer to the State/Territory of ,
a participating State for the purposes of the Prisoners (Interstate Transfer) Act 1983 , to serve the balance of my sentence(s).

( The following questions are to answered by the prisoner )

Q. Has any appeal been lodged against the prisoner’s conviction or sentence?

Q. If so, has the appeal been determined?

Q. Is there any outstanding charge, prosecution notice against the prisoner under the law of Western Australia or the Commonwealth, or any other State or a Territory of Australia yet to be dealt with or determined?

Q. Has there been any petition for, or is there pending, any inquiry into the prisoner’s conviction or sentence?

A.

A.

A.

A.

(2) If space insufficient, set out ground on additional sheet.

The request is made on the following grounds — ⁽²⁾

( See regulation 6 of the Prisoners (Interstate Transfer) Regulations 1984 , printed below )

For the purposes of this request I acknowledge that reports, assessments or other information obtained or supplied in respect of me may be sent to the appropriate Minister in the participating State.

I understand that, upon transfer —
(a) the sentence(s) of imprisonment imposed upon me in Western Australia shall be deemed to have been imposed upon me in the participating State;
(b) I will be subject to the provisions of any rules, regulations, etc., applying to prisoners in that State; and
(c) I may be subject to reclassification under those provisions.

Signed

Date

Regulation 6, Prisoners (Interstate Transfer) Regulations 1984 —

Statements in support of prisoner’s request.

6. A prisoner’s request shall include statements as to —
(a) family or near family support in the participating State, including the availability of accommodation upon the prisoner’s release from prison;
(b) family or other social circumstances that may benefit the welfare of the prisoner either during imprisonment or following release from prison;
(c) medical reasons (if any) in support of the request;
(d) prospects of employment following release from prison; and
(e) any other matters which the prisoner wishes to put forward in support of the request.

[Form 1 amended: Gazette 9 May 2008 p. 1842 and 1843.]

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.
(5) Aggregate terms.

Form 2

[Reg. 10]

Order of transfer to participating State for Prisoner’s welfare

( Prisoners (Interstate Transfer) Act 1983 — Section 6)

TO the superintendent of the prison at
in the State of Western Australia.

AND TO the escort(s) for the purposes of executing this order.

WHEREAS:

(a) ⁽¹⁾
(in this order referred to as “the prisoner”) was
on ⁽²⁾
at ⁽³⁾ in the State of Western Australia for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment:

(b) I, the Minister for Corrective Services in the State of Western Australia, following receipt of a written request from the prisoner for transfer to a participating State, am of the opinion that, in the interests of the welfare of the prisoner, the prisoner should be transferred to the State/Territory of
,
a participating State for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this order referred to as “the Act”), to serve the balance of the sentence(s) of imprisonment in accordance with the interstate law of that participating State, as defined in section 3(1) of the Act:

(c) The corresponding Minister of the participating State has given written consent to the transfer of the prisoner to the participating State:

NOW, THEREFORE, I HEREBY COMMAND YOU —

(d) The superintendent of the abovenamed prison in the State of Western Australia, to deliver the prisoner, together with this order, into the custody of the abovementioned escort(s):

(e) The abovementioned escort(s), forthwith to take and safely keep custody of the prisoner for the purpose of conveying the prisoner from the State of Western Australia to the participating State and there delivering the prisoner, together with this order, into the custody of the superintendent of the prison at
in the participating State: and for your so doing, this order shall be your sufficient authority.

GIVEN under my hand this day
of 20 , at Perth in the State of Western Australia.

Minister for Corrective Services.

(1) Full name and aliases by which known.

(2) Give details of prosecutor; date and nature of the alleged offence(s); the court, if any, at which the proceedings are pending; or details of any arrest warrant.

Form 3

[Reg. 13(1)]

Request by prisoner for transfer to a participating State, to be dealt with according to law

( Prisoners (Interstate Transfer) Act 1983 — Section 10(1)(b))

I, ⁽¹⁾
currently a prisoner held at Prison,
in the State of Western Australia, hereby request that I be transferred to the State/Territory
of , a participating State
for the purposes of the Prisoners (Interstate Transfer) Act 1983 to be dealt with in that participating State according to law for outstanding offence(s) alleged against me.

Details of the outstanding offence(s) alleged against me are as follows — ⁽²⁾

There is no outstanding charge, prosecution notice against me in Western Australia yet to be dealt with or determined according to law or any prison offence, nor is there any appeal pending in respect of me in Western Australia.

( If any matters are outstanding or pending, delete paragraph and insert details hereunder )

Signed

Date

NOTE: If outstanding offences alleged against the prisoner occurred in more than one participating State, a separate request is to be made in respect of each participating State.

[Form 3 amended: Gazette 9 May 2008 p. 1843.]

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.
(5) Aggregate term.

Form 4

[Reg. 14(1)]

Certificate of prescribed officer

( Prisoners (Interstate Transfer) Act 1983 — Section 11(2))

WHEREAS:

(a) ⁽¹⁾
(in this certificate referred to as “the prisoner”) was on ⁽²⁾
at ⁽³⁾ in the State of Western
Australia for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment:

(b) The prisoner is the subject of an arrest warrant issued in accordance with the law of the State/Territory of ,
a participating State for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this certificate referred to as “the Act”):

(c) The Attorney General of Western Australia has received —

* from the Attorney General of the participating State a written request given under the provision of an interstate law that corresponds to section 16 of the Act, accompanied by a copy of the arrest warrant;

* a written request made by the prisoner to the Minister for Corrective Services and referred to the Attorney General of Western Australia;

being a request for the transfer of the prisoner to the participating State to be dealt with according to law.

* Strike out whichever is not applicable.

NOW, I, the chief executive officer of the Department of the Attorney General, the prescribed officer for the purposes of section 11(2) of the Act, do hereby certify that the *consent(s) (and request) required under section 11(1) of the Act have been given or made for the transfer of the prisoner to the participating State to be dealt with according to law.

GIVEN under my hand this day of
20 , at Perth in the State of Western Australia.

Chief Executive Officer,
Department of the Attorney General.

* Strike out whichever is not applicable.

[Form 4 amended: Gazette 9 May 2008 p. 1842.]

(1) Name of applicant.

(2) Full name.

(3) Date.

(4) Court.

(5) Short description.
(6) Aggregate term.

Form 5

[Reg. 15(1)]

Application to Magistrates Court for the issue of an order of transfer

( Prisoners (Interstate Transfer) Act 1983 — Section 12(1))

I, ⁽¹⁾
of
on behalf of the Department of Corrective Services, hereby make application to the Magistrates Court at
in the State of Western Australia, for the issue of an order of transfer of ⁽²⁾
(in this application referred to as “the prisoner”), at present detained in the prison at
in the State of Western Australia, to the
State/Territory of
a participating State for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this application referred to as “the Act”) to be dealt with according to law.

The prisoner was on ⁽³⁾
at ⁽⁴⁾ in the State of Western Australia for the offence(s) of ⁽⁵⁾

sentenced to ⁽⁶⁾ imprisonment.

The prisoner is the subject of an arrest warrant issued in accordance with the law of the participating State.

I attach a certificate issued in accordance with section 11(2) of the Act certifying that the necessary *consent(s) (and request) required under section 11(1) of the Act for the transfer of the prisoner to the participating State have been given or made.

I ask that an order in writing be issued by the court, in accordance with section 12(1) of the Act, directing the superintendent of the abovenamed prison to bring the prisoner before the court for determination as to whether an order of transfer shall be issued.

Signed
Designation
Date

* Strike out whichever is not applicable.

TAKE NOTICE that this application will be heard and determined at the Magistrates Court at
on the day
of 20 , at 10 a.m.

An order in writing under section 12(1) of the Act has been made directing that the prisoner be brought before the court on the abovementioned date.

Registrar of the Magistrates Court
at
Date

To the applicant.
the abovenamed prisoner.
the Attorney General.

Note: This application is to be filed at the Magistrates Court in quadruplicate.

[Form 5 amended: Gazette 9 May 2008 p. 1842 and 1843.]

Form 6

[Reg. 16]

Order directing superintendent to bring prisoner before the court

( Prisoners (Interstate Transfer) Act 1983 — Section 12(1) or 14(2))

TO the superintendent of the prison at
and to all prison officers and members of the police force in the State of Western Australia.

WHEREAS ,
a prisoner detained in custody in the abovenamed prison should be in attendance before the undermentioned court in connection with
* an application for
* a review of a decision made to issue
an order of transfer of the prisoner to a participating State to be dealt with according to law:

NOW, I,
* a Magistrate of the Magistrates Court,
* a Judge of the Supreme Court,
* a person authorised by the rules of the Supreme Court,
by this order made pursuant to section 12(1)/section 14(2)* of the Prisoners (Interstate Transfer) Act 1983 , direct you, the superintendent of the abovenamed prison, or such prison officers or members of the police force charged by you to execute this order, to produce the prisoner, under secure conduct, in the court at on the
day of 20 , at 10 a.m., and so from day to day until the prisoner’s attendance is no longer required by the court and, in due course, to return the prisoner to the custody from which the prisoner has been brought.

GIVEN under my hand at in the
State of Western Australia on the day
of 20 .

...............................................
Designation:

* Strike out whichever is not applicable .

[Form 6 amended: Gazette 9 May 2008 p. 1842.]

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.
(5) Aggregate term.

(6) Place.

Form 7

[Reg. 17(1)]

Order of transfer to participating State for prisoner’s trial (issued by Magistrates Court)

( Prisoners (Interstate Transfer) Act 1983 — Section 13)

TO the superintendent of the prison at
in the State of Western Australia.

AND TO the escort(s) for the purposes of executing this order.

WHEREAS:
(a) ⁽¹⁾
(in this order referred to as “the prisoner”)
was on ⁽²⁾
at ⁽³⁾ , in the State of
Western Australia, for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment:

(b) It has been established to the satisfaction of the undersigned Magistrate constituting a Magistrates Court
at ⁽⁶⁾
in the State of Western Australia that the prisoner is the subject of an arrest warrant issued in accordance with the law of the State/Territory of ,
a participating State for the purposes of the Prisoners (Interstate Transfer) Act 1983 , and that the Attorney General of Western Australia and the Attorney General of the participating State have consented to or requested, as the case may be, the transfer of the prisoner to the participating State to be dealt with according to law.

NOW, I, the undersigned Magistrate, constituting the abovenamed Magistrates Court issue this order for the transfer of the prisoner to the participating State to be dealt with according to law.

I, THEREFORE, HEREBY COMMAND YOU —

(c) The superintendent of the abovenamed prison in the State of Western Australia, to deliver the prisoner, together with this order, into the custody of the abovementioned escort(s):

(d) The abovementioned escort(s), forthwith to take and safely keep custody of the prisoner for the purpose of conveying the prisoner from the State of Western Australia to the participating State and there delivering the prisoner, together with this order, into the custody of the superintendent of the prison at
in the participating State:
and for your so doing, this order shall be your sufficient authority.

GIVEN under my hand this day of 20 ,
at the Magistrates Court, ,
in the State of Western Australia.

Magistrate.

[Form 7 amended: Gazette 9 May 2008 p. 1843.]

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.
(5) Aggregate term.

(6) Set out the substance of the order.

(7) Applicant for review.

Form 8

[Reg. 17(2)]

Order of transfer to participating State for prisoner’s trial (issued by Supreme Court)

( Prisoners (Interstate Transfer) Act 1983 — Section 14(6))

TO the superintendent of the prison at
in the State of Western Australia.

AND TO the escort(s) for the purposes of executing this order.

WHEREAS:
(a) ⁽¹⁾
(in this order referred to as “the prisoner”)
was on ⁽²⁾
at ⁽³⁾ in the State of Western
Australia, for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment:

(b) On ⁽²⁾
the Magistrates Court at
in the State of Western Australia, on an application for the issue of an order for the transfer of the prisoner to the State/Territory of
,
a participating State for the purposes of the Prisoners (Interstate Transfer) Act 1983 , to be dealt with according to law, made the following order — ⁽⁶⁾.

(c) The ⁽⁷⁾
was dissatisfied with the decision of the Magistrates Court and applied to the Supreme Court of Western Australia for a review of the decision.

NOW, I, the undersigned Judge of the Supreme Court of Western Australia, having reviewed the decision of the Magistrates Court, hereby quash the decision, AND, it having been established to my satisfaction that the prisoner is the subject of an arrest warrant issued in accordance with the law of the participating State and that the Attorney General of Western Australia and the Attorney General of the participating State have consented to or requested, as the case may be, the transfer of the prisoner to the participating State to be dealt with according to law, DO issue this order for the transfer of the prisoner to the
participating State to be dealt with according to law:

I, THEREFORE, HEREBY COMMAND YOU —

(d) The superintendent of the abovenamed prison in the State of Western Australia, to deliver the prisoner, together with this order, into the custody of the abovementioned escort(s):

(e) The abovementioned escort(s), forthwith to take and safely keep custody of the prisoner for the purpose of conveying the prisoner from the State of Western Australia to the participating State and there delivering the prisoner, together with this order, into the custody of the superintendent of the prison at
in the participating State:
and for your so doing, this order shall be your sufficient authority.

GIVEN under my hand this day of ,
20 , at the Supreme Court at Perth in the State of Western Australia.

Judge of the Supreme Court of Western Australia.

[Form 8 amended: Gazette 9 May 2008 p. 1843.]

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.
(5) Aggregate term.

(6) Strike out whichever is inapplicable.

Form 9

[Reg. 19]

Order of transfer to return person to participating State after being dealt with according to law

( Prisoners (Interstate Transfer) Act 1983 — Section 18)

TO the superintendent of the prison at
in the State of Western Australia.

AND TO the escort(s) for the purposes of executing this order.

WHEREAS:

(a) ⁽¹⁾
(in this order referred to as “the prisoner”)
was on ⁽²⁾
at ⁽³⁾ in the State/Territory of
, a participating
State for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this order referred to as “the Act”),
for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment:

(b) The prisoner was transferred to the State of Western Australia from the abovenamed participating State pursuant to an order of transfer issued under a provision of the interstate law of that participating State for the purpose of being dealt with according to law:

(c) So far as I, the Minister for Corrective Services in the State of Western Australia, am aware, every prosecution notice or charge alleging any offence by the prisoner against the law of Western Australia or any prison offence has been finally dealt with or determined according to law and as a result the prisoner —

⁽⁶⁾ did not become liable to serve any sentence of imprisonment in Western Australia; or
⁽⁶⁾ was on ⁽²⁾
at ⁽³⁾ in the State of
Western Australia, for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment,

AND the term of imprisonment remaining to be served in Western Australia is shorter than the period of imprisonment remaining to be served by the prisoner under any section 25 sentence or section 25 sentences.

NOW, THEREFORE, I, the Minister for Corrective Services in the State of Western Australia, pursuant to the provisions of section 18 of the Act, issue this order for the transfer of the prisoner to the participating State to serve the period of imprisonment remaining to be served by the prisoner in that State.

I, HEREBY COMMAND YOU —

(d) The superintendent of the abovenamed prison in the State of Western Australia, to deliver the prisoner, together with this order into the custody of the abovementioned escort(s):

(e) The abovementioned escort(s), forthwith to take and safely keep custody of the prisoner for the purpose of conveying the prisoner from the State of Western Australia to the participating State and there delivering the prisoner, together with this order, into the custody of the superintendent of the prison at
in the participating State:
and for your so doing, this order shall be your sufficient authority.

GIVEN under my hand this day of ,
20 , at Perth in the State of Western Australia.

Minister for Corrective Services.

[Form 9 amended: Gazette 9 May 2008 p. 1843‑4.]

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.

(5) Aggregate term.

(6) Short description of proceedings (section 19(c)).

Form 10

[Reg. 20]

Order of transfer to return person to participating State to attend appeal

( Prisoners (Interstate Transfer) Act 1983 — Section 19)

TO the superintendent of the prison at

in the State of Western Australia.

AND TO the escort(s) for the purposes of executing this order.

WHEREAS:

(a) ⁽¹⁾
(in this order referred to as “the prisoner”)
was on ⁽²⁾
at ⁽³⁾ in the State/Territory of

, a participating State

for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this order referred to as “the Act”), for the offence(s) of ⁽⁴⁾

sentenced to ⁽⁵⁾ imprisonment:

(b) The prisoner was transferred to the State of Western Australia from the abovenamed participating State pursuant to an order of transfer issued under a provision of the interstate law of that participating State for the purpose of being dealt with according to law:

(c) Under a law of the participating State, the prisoner is entitled to be present at proceedings in the participating State with respect to ⁽⁶⁾

(d) The prisoner has made an application in writing to the Minister for Corrective Services in the State of Western Australia to be present at those proceedings and, so far as I, the Minister for Corrective Services am aware, every prosecution notice or charge alleging any offence by the prisoner against the law of Western Australia or any prison offence has been finally dealt with according to law.

NOW, THEREFORE, I, pursuant to the provisions of section 19 of the Act, not being of the opinion that it is contrary to the public interest to do so, issue this order for the transfer of the prisoner to the participating State to enable the prisoner to be present at those proceedings.

I HEREBY COMMAND YOU —

(e) The superintendent of the abovenamed prison in the State of Western Australia, to deliver the prisoner, together with this order, into the custody of the abovementioned escort(s):

(f) The abovementioned escort(s), forthwith to take and safely keep custody of the prisoner for the purpose of conveying the prisoner from the State of Western Australia to the participating State and there delivering the prisoner, together with this order into the custody of the superintendent of the prison at

in the participating State:

and for your so doing, this order shall be your sufficient authority.

GIVEN under my hand this day of ,
20 , at Perth in the State of Western Australia.

Minister for Corrective Services.

[Form 10 amended: Gazette 9 May 2008 p. 1844.]

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.

(5) Aggregate term.

(6) Strike out whichever is inapplicable.

Form 11

[Reg. 22]

Order of transfer to return person to participating State after attending appeal

( Prisoners (Interstate Transfer) Act 1983 — Section 20)

TO the superintendent of the prison at
in the State of Western Australia.

AND TO the escort(s) for the purposes of executing this order.

WHEREAS:

(a) ⁽¹⁾
(in this order referred to as “the prisoner”)
was on ⁽²⁾
at ⁽³⁾ in the State/Territory
of , a participating
State for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this order referred to as “the Act”),
for the offence(s) of ⁽⁴⁾

sentenced to ⁽⁵⁾ imprisonment:

(b) The prisoner was transferred to the State of Western Australia from the abovenamed participating State pursuant to an order of transfer issued under a provision of the interstate law of that participating State to enable the prisoner to attend proceedings in Western Australia:

(c) Those proceedings have been determined, and

⁽⁶⁾ the prisoner is liable to serve the balance of a period of imprisonment under a section 25 sentence or section 25 sentences and is not liable to serve in the State of Western Australia any other sentence of imprisonment; or

⁽⁶⁾ the balance of a sentence of imprisonment under a section 25 sentence or section 25 sentences liable to be served by the prisoner is longer than any period of imprisonment which the prisoner is liable to serve in the State of Western Australia under any other sentence or sentences of imprisonment.

NOW, THEREFORE, I, the Minister for Corrective Services in the State of Western Australia, pursuant to the provisions of section 20 of the Act, issue this order for the transfer of the prisoner to the participating State to serve the period of imprisonment remaining to be served by the prisoner in that State:

I HEREBY COMMAND YOU —

(d) The superintendent of the abovenamed prison in the State of Western Australia, to deliver the prisoner, together with this order, into the custody of the abovementioned escort(s):

(e) The abovementioned escort(s), forthwith to take and safely keep custody of the prisoner for the purpose of conveying the prisoner from the State of Western Australia to the participating State and there delivering the prisoner, together with this order, into the custody of the superintendent of the prison at

in the participating State:

and for your so doing, this order shall be your sufficient authority.

GIVEN under my hand this day of ,
20 , at Perth in the State of Western Australia.

Minister for Corrective Services.

(1) Full name.

(2) Date.

(3) Court.

(4) Short description.

(5) Aggregate term.

Form 12

[Reg. 24]

Order of imprisonment following agreement of Ministers that a person should serve imprisonment in Western Australia

( Prisoners (Interstate Transfer) Act 1983 — Section 21(1)(a))

TO the superintendent of the prison at

in the State of Western Australia.

WHEREAS:

(a) ⁽¹⁾
(in this order referred to as “the prisoner”)
was on ⁽²⁾
at ⁽³⁾ the State/Territory
of , a participating
State for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this order referred to as “the Act”) for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment:

(b) The prisoner was transferred to Western Australia pursuant to the Act for the purpose of being dealt with according to law:

(c) The prisoner was on ⁽²⁾
at ⁽³⁾ in Western Australia,
for the offence(s) of ⁽⁴⁾
sentenced to ⁽⁵⁾ imprisonment:

(d) By reason of the shorter sentence of imprisonment imposed in Western Australia, the prisoner is liable to be transferred back to the participating State pursuant to the provisions of Part IV of the Act to serve the longer sentence of imprisonment:

(e) The prisoner has made a written request to the Minister for Corrective Services to serve the longer sentence of imprisonment in Western Australia.

(f) The corresponding Minister of the participating State and I, the Minister for Corrective Services in Western Australia, have agreed in writing that it is in the interests of the welfare of the prisoner that the prisoner should serve the longer sentence of imprisonment in Western Australia.

NOW, THEREFORE, THIS IS TO COMMAND YOU, the superintendent of the abovenamed prison, to receive the prisoner into your custody for the purpose of serving the longer sentence of imprisonment in accordance with the provisions of the Act:
and for your so doing, this order shall be your sufficient authority.

GIVEN under my hand this day of ,
20 , at Perth in the State of Western Australia.

Minister for Corrective Services.

(1) Full name.

* Strike out whichever is not applicable.

Form 13

[Reg. 30]

Warrant ordering person to be returned to the participating State in which an order of transfer was issued

( Prisoners (Interstate Transfer) Act 1983 — Section 30(2))

TO the senior officer of police at
in Western Australia, and to all
other members of the police force in Western Australia.

TO the superintendent of the prison at
in Western Australia.

AND TO the escort(s) for the purposes of the Prisoners (Interstate Transfer) Act 1983 (in this warrant referred to as “the Act”).

WHEREAS:

(a) ⁽¹⁾
(in this warrant referred to as “the prisoner”), a person subject to an order of transfer issued under an interstate law of the State/Territory of
a participating State for
the purposes of the Act, being a person in lawful custody pursuant to the provisions of section 29 of the Act for transit through Western Australia was, before a justice at
on proved to have

* escaped from such lawful custody; or attempted to have escaped from such lawful custody:

(b) Notwithstanding the terms of the order of transfer issued in the abovenamed participating State, it was ordered by that justice that the prisoner be returned to the participating State and, for that purpose, it was also ordered that the prisoner be delivered to an escort.

I, THEREFORE, HEREBY COMMAND YOU —

(c) The abovementioned senior officer of police and all other members of the police force in Western Australia, and the superintendent of the abovenamed prison, as the case may be, to receive the prisoner and detain the prisoner in your custody —

(i) until the prisoner is delivered into the custody of the escort(s) to whom this warrant is directed, together with this warrant, for the purpose of being returned to the participating State; or

(ii) until the expiration of a period of 7 days from the date of this warrant, whichever first occurs:

(d) The abovementioned escort(s), forthwith to take and safely keep custody of the prisoner for the purpose of conveying the prisoner from Western Australia to the participating State:
and for your so doing, this warrant shall be your sufficient authority.

In the event of the prisoner’s not being delivered into the custody of an escort to whom this warrant is directed within a period of 7 days from the date of this warrant, the warrant shall have no further effect and the prisoner shall be discharged in respect thereof.

GIVEN under my hand this day of ,
20 , at in the State of Western Australia.

Justice of the Peace.

Form 14

[Reg. 31]

Application to a Magistrates Court to revoke an order of transfer

( Prisoners (Interstate Transfer) Act 1983 — Section 32)

I,
of
a , hereby make application
to the Magistrates Court at in
Western Australia for the revocation of the order of
transfer issued by on
for the transfer of
(in this application referred to as “the prisoner”) to the State/Territory of a participating State for the purposes of the Prisoners (Interstate Transfer) Act 1983 .

The application is made on the ground(s) that the prisoner has committed the following offence(s):

Signed
Designation
Date

TAKE NOTICE that this application will be heard and determined at the Magistrates Court at
on the day of 20 ,
at 10 a.m.

Registrar of the Magistrates Court.
at
Date

To the applicant.
the abovenamed prisoner.

Note: This application is to be filed at the Magistrates Court in triplicate.

[Form 14 amended: Gazette 9 May 2008 p. 1842 and 1843.]

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