Form 3—Applicationwarrant to enter
Section 130 of the Local Government Act 2009 (Qld)
I(1) being an authorised person appointed by
(2) under section 202 of the Local Government Act 2009 of
(3)
on oath say that there are reasonable grounds for suspecting that there is a particular *thing/*activity (the “evidence”) that may provide evidence of the commission of an offence against a Local Government Act2009 and the evidence *is/*may be within the next seven days at the property described below.
(4)
(5)
(6)
(7)
(8)
(9)
Applicant
(1)Name
(2) Name of localgovernment
(3) Office address
Suspicion
Details
The property:
(4) Description
(5) Situated at
Evidence
(6) Particular *thing/*activity
(the evidence for which this warrant is issued)
(7) Grounds for suspicion
(8) Offence suspected
Jurisdiction
(9) Local Government Act and section

Form 3 – Application warrant to enter – Local Government Act 2009 Qld

Version no: July 2017Page 1 of 4

Form 3—Application warrant to enter
Section 130 of the Local Government Act 2009 (Qld)
Application
I hereby make application for the issue of a warrant authorising me, with necessary and reasonable help and force, to enter the property between the hours of *a.m./*p.m. and *a.m./*p.m. for a period of days to exercise the powers of an authorised person under the Local Government Act 2009.
……………………………..

Signature of applicant

Sworn before me at , in the said State this
day of 20 .
……………………………………………………………

Commissioner for Declarations/Solicitor/Justice of the Peace

*Delete if inapplicable.

Warrant to enter
Section 130 of the Local Government Act 2009 (Qld)

TO(1) being an authorised person appointed by

(2)

under section 202 of the Local Government Act 2009 of

(3)

The said authorised person has this day informed me the undersigned Magistrate on oath that there are reasonable grounds for suspecting that there is a particular *thing/*activity (the “evidence”) that may provide evidence of the commission of an offence against a Local Government Act 2009 and the evidence *is/*may be within the next seven days at the property described below.

(4)

(5)

Applicant

(1)Name

(2) Name of local government

(3) Office address

Information

Details

The property:

(4) Description

(5) Situated at

Form 3 – Application warrant to enter – Local Government Act 2009 Qld

Version no: July 2017Page 1 of 4

Warrant to enter
Section 130 of the Local Government Act 2009 (Qld)

Evidence

/

(6)

(7)

(8)

(9)

WHEREAS I am satisfied that there are reasonable grounds for so suspecting.

YOU the said authorised person are hereby authorised between the hours of *a.m. /*p.m. and *a.m. /*p.m. with such necessary and reasonable help and force to enter the property and exercise the powers of an authorised person under the Local Government Act 2009.

This warrant stops having effect at *a.m./*p.m. on

20 .

Given under my hand at , in the said State this

day of 20 .

………………………………….

Magistrate

(6) Particular *thing/*activity

(the evidence for which this warrant is issued)

(7) Grounds for suspicion

(8) Offence suspected

Jurisdiction

(9) Local Government Act and section

Authorisation

Expiry

(within 14 days after the warrant is issued)

*Delete if inapplicable

Warrant issued by Magistrate at *am/*pm on / /20 .

Form 3 – Application warrant to enter – Local Government Act 2009 Qld

Version no: July 2017Page 1 of 4