Form S22Y APPLICATION FOR ENFORCEMENT OF A Court Use BREACH OF AN INTENSIVE CORRECTION Date Filed: ORDER Youth Court of South Australia Sentencing Act 2017 Section 116 Registry File No Street City/Town/Suburb State Postcode Address Telephone Facsimile Email Address DX Applicant Full Name Postcode Street City/Town/Suburb State Address Telephone Facsimile Email Address Particulars of Youth Full Name DOB Street City/Town/Suburb State Postcode Address Telephone Facsimile Email Address Details of Application The youth entered into an Intensive Correction Order (a true copy of which is attached hereto) at the Youth Court on the day of 20 . AND it is alleged that the youth failed to observe the conditions of that Intensive Correction Order, in that the youth has: AND the applicant now asks that the youth be brought before the probative court at the time and place listed below to answer the allegation and cause why he/she should not be further dealt with according to law. AND the applicant now asks that a warrant be issued for the youth’s arrest. I, the undersigned applicant, make oath and swear the contents of this application to be true and correct to the best of my knowledge and belief. Date Applicant Taken and sworn before me this day of 20 , at in the State of South Australia. Date Justice of the Peace/Proclaimed Police Officer Registry Date Hearing details Address Time am/pm Telephone Facsimile Email Address
Form S22Y APPLICATION FOR ENFORCEMENT OF A BREACH OF AN INTENSIVE CORRECTION ORDER Youth Court of South Australia Sentencing Act 2017 Section 116 Court Use Date Filed: Registry File No Address Street City/Town/Suburb State Postcode Telephone Facsimile Email Address DX Applicant Full Name Address Street City/Town/Suburb State Postcode Telephone Facsimile Email Address Particulars of Youth Full Name DOB Address Street City/Town/Suburb State Postcode Telephone Facsimile Email Address Details of Application The youth entered into an Intensive Correction Order (a true copy of which is attached hereto) at the Youth Court on the day of 20 . AND it is alleged that the youth failed to observe the conditions of that Intensive Correction Order, in that the youth has: AND the applicant now asks that the youth be brought before the probative court at the time and place listed below to answer the allegation and cause why he/she should not be further dealt with according to law. AND the applicant now asks that a warrant be issued for the youth’s arrest. I, the undersigned applicant, make oath and swear the contents of this application to be true and correct to the best of my knowledge and belief. Date Applicant Taken and sworn before me this day of 20 , at in the State of South Australia. Date Justice of the Peace/Proclaimed Police Officer Hearing details Registry Date Address Time am/pm Telephone Facsimile Email Address
Form%20S22Y%20-%20Application%20for%20Enforcement%20of%20a%20Breach%20of%20an%20Intensive%20Correction%20Order.docx