Form 32Y APPLICATION TO VARY OR REVOKE Court Use RESTRAINING ORDER Date Filed: Youth Court of South Australia Criminal Procedure Act 1921 Section 99F Registry File No Street Telephone Facsimile Address City/Town/Suburb State Postcode Email Address Defendant DOB Name Surname Given name/s dd/mm/yyyy Street Telephone Address City/Town/Suburb State Postcode Email Address Applicant Name Applicant’s reference / Surname Given name/s relationship to child Rank ID No Street Address City/Town/Suburb State Postcode Email Address Application made by: Original Applicant; Defendant; Person for whose benefit the order was made; or Parent or guardian of the child for whom the order was made. Details of current order which is sought to be varied or revoked: Variation sought: Date APPLICANT (Details of the hearing are on the next page)
Form 32Y APPLICATION TO VARY OR REVOKE RESTRAINING ORDER Youth Court of South Australia Criminal Procedure Act 1921 Section 99F Court Use Date Filed: Registry File No Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address Defendant Name DOB Surname Given name/s dd/mm/yyyy Address Street Telephone City/Town/Suburb State Postcode Email Address Applicant Name Surname Given name/s Applicant’s reference / relationship to child Rank ID No Address Street City/Town/Suburb State Postcode Email Address Application made by: Original Applicant; Defendant; Person for whose benefit the order was made; or Parent or guardian of the child for whom the order was made. Details of current order which is sought to be varied or revoked: Variation sought: Date APPLICANT (Details of the hearing are on the next page)
Form%2032Y%20-%20Application%20to%20Vary%20or%20Revoke%20Restraining%20Order.docx