[r. 3]
[Heading inserted: Gazette 26 Nov 2004
p. 5267.]
[Forms 1‑9 deleted: Gazette 7 Feb 2017 p. 1167.]
Form 10 — Police order
Part A — Police order
Restraining Orders Act 1997 Part 2A Division 3A |
Person who is bound by this order |
Family name: |
Date of birth: | ||
Other names: | ||||
Home street: | ||||
Work street: | ||||
Phone nos.: work:
home: mobile: | ||||
| ||||
Person protected |
Family name: |
Date of birth: | ||
Other names: | ||||
| ||||
Terms of the order | | |||
| ||||
Order made |
Date order made: |
Time order made: | ||
Order expires |
This order will expire at a.m./p.m. on the
day of 20 | |||
| | |||
| ||||
Issuing police officer |
Name and other identifying information: | |||
Signature: | ||||
| ||||
THIS IS A NATIONALLY RECOGNISED ORDER |
Form 10 — Police order
Part B — Information to be on the proof of service copy
Certificate of Service | |||
| |||
Person served |
Name: | ||
Date of birth: | |||
Signature: | |||
| | ||
Details of Service |
Place where order served: | ||
Date of service: |
Time of service: | ||
| |||
Officer servicing order |
Name and other identifying information: |
ISSUING POLICE OFFICER
IMPORTANT INFORMATION: ORDERS AGAINST CHILDREN
Note that the Restraining Orders Act 1997 section 30D reads as
follows: 30D. Police orders against children (1) A police order
cannot impose restraints on a child unless the child is in a family
relationship with the person for whose benefit the order is made. (2) A police officer
must not make a police order against a child that might affect the care and
wellbeing of the child unless the police officer is satisfied that appropriate
arrangements have been made for the care and wellbeing of the child. |
Form 10 — Police order
Part C — Information to be on the copy of order given to the person
bound by a police order
PERSON BOUND BY THIS ORDER
IMPORTANT INFORMATION
This is a police order which has been made against you. ensure that a person is protected from family
violence; or prevent behaviour that could reasonably be
expected to cause a person to apprehend that family violence will be committed
against them; or ensure that children are not exposed to family
violence. A child is exposed to family violence if the child sees or hears the violence
or otherwise experiences the effects of family violence, for example, cleaning
up a site after property damage. Counselling and support services may be of assistance to you. Any police officer may serve this order. |
Form 10 — Police order
Part D — Information to be on the copy of a police order given to a
person protected by a police order
IMPORTANT INFORMATION
FOR PERSON PROTECTED BY A POLICE ORDER
This is a police order which has been made for your benefit. ensure that a person is protected from family
violence; or prevent behaviour that could reasonably be
expected to cause a person to apprehend that family violence will be committed
against them; or ensure that children are not exposed to family
violence. A child is exposed to family violence if the child sees or hears the violence
or otherwise experiences the effects of family violence, for example, cleaning
up a site after property damage. Counselling and support services may be of assistance to you. Any police officer may serve this order. |
[Form 10 inserted: Gazette 4 May 2012
p. 1856-9; amended: Gazette 7 Feb 2017 p. 1167‑8;
24 Nov 2017 p. 5678‑9.]
[Forms 11‑13, 14A and 14 deleted: Gazette 7 Feb 2017
p. 1167.]
This is a compilation of the Restraining Orders Regulations 1997 and
includes amendments made by other written laws. For provisions that have come
into operation, and for information about any reprints, see the compilation
table.
Citation |
Published |
Commencement |
---|---|---|
Restraining Orders Regulations 1997 |
12 Sep 1997 p. 5079‑146 (correction 16 Sep 1997
p. 5235) |
15 Sep 1997 (see r. 2 and Gazette 12 Sep 1997
p. 5149) |
Restraining Orders Amendment Regulations 1998 |
27 Mar 1998 p. 1714 |
27 Mar 1998 |
Restraining Orders Amendment Regulations (No. 2) 2001 |
8 Jan 2002 p. 32‑3 |
8 Jan 2002 |
Reprint 1: The Restraining Orders Regulations 1997 as at 13 Feb 2004
| ||
Restraining Orders Amendment Regulations 2004 |
26 Nov 2004 p. 5257‑305 |
1 Dec 2004 (see r. 2) |
Reprint 2: The Restraining Orders Regulations 1997 as at 16 Mar 2007
| ||
Restraining Orders Amendment Regulations 2007 |
31 Jul 2007 p. 3800‑2 |
r. 1 and 2: 31 Jul 2007 (see r. 2(a)); |
Restraining Orders Amendment Regulations 2009 |
12 Jan 2010 p. 55-6 |
r. 1 and 2: 12 Jan 2010 (see r. 2(a)); |
Restraining Orders Amendment Regulations 2012 |
4 May 2012 p. 1847-60 |
r. 1 and 2: 4 May 2012 (see r. 2(a)); |
Reprint 3: The Restraining Orders Regulations 1997 as at 6 Jul 2012
| ||
Restraining Orders Amendment Regulations 2017 |
7 Feb 2017 p. 1164‑8 |
r. 1 and 2: 7 Feb 2017 (see r. 2(a)); |
Restraining Orders Amendment Regulations (No. 2) 2017 |
24 Nov 2017 p. 5678‑9 |
r. 1 and 2: 24 Nov 2017 (see r. 2(a)); |
Restraining Orders Amendment Regulations 2020 |
SL 2020/63 22 May 2020 |
r. 1 and 2: 22 May 2020 (see r. 2(a)); |
Restraining Orders Amendment Regulations (No. 2) 2020 |
SL 2020/258 24 Dec 2020 |
r. 1 and 2: 24 Dec 2020 (see r. 2(a)); |
Restraining Orders Amendment Regulations 2022 |
SL 2022/146 26 Aug 2022 |
r. 1 and 2: 26 Aug 2022 (see r. 2(a)); |
Attorney General Regulations Amendment (Firearms) Regulations 2022 Pt. 3 |
SL 2022/189 18 Nov 2022 |
19 Nov 2022 (see r. 2(b)) |
Attorney General Regulations Amendment (Firearms) Regulations 2024
Pt. 3 |
SL 2024/300 21 Dec 2024 |
31 Mar 2025 (see r. 2(b) and SL 2024/289 cl. 2) |
Restraining Orders Amendment Regulations 2025 |
SL 2025/29 5 Feb 2025 |
r. 1 and 2: 5 Feb 2025 (see r. 2(a)); |
1 Under the Courts Legislation Amendment and
Repeal Act 2004 s. 58, a reference in a written law to the court of
petty sessions is, unless the contrary intention appears, to be construed as
if it had been amended to be a reference to the Magistrates Court. This
reference was amended under the Reprints Act 1984 s. 7(5)(a).
Defined terms
[This is a list of terms defined and the provisions where they
are defined. The list is not part of the law.]
Defined term Provision(s)
Chief Dangerous Goods
Officer 2A
custodial officer
10(1A)
explosives order 5C
form
2A
latest attempt 9B(2)
prison officer 10(1A)
proceedings under the Act
2A
restrained person
2A
senior officer 9B(1)
© State of Western Australia 2025.
This work is licensed under a Creative
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www.legislation.wa.gov.au .
Attribute work as: © State of Western
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By Authority: GEOFF O. LAWN, Government Printer