Form 31Y APPLICATION FOR VARIATION OR Court Use REVOCATION OF INTERVENTION ORDER Date Filed: Youth Court of South Australia Intervention Orders (Prevention of Abuse)Act 2009 Section 26 This document must be served on the defendant personally Registry File No Street Telephone Facsimile Address City/Town/Suburb State Postcode Email Address Applicant Name Surname Given name/s AP Number Street Telephone Facsimile Address City/Town/Suburb State Postcode Email Address Defendant DOB Name Surname Given name/s dd/mm/yyyy The applicant seeks to have the intervention order made on file number dated : revoked varied details of variation sought: a related tenancy order will need to be varied a related problem gambling order will need to be varied Date APPLICANT Registry Date Hearing details Address Time am/pm Telephone Facsimile Email Address Date YOUTH COURT IMPORTANT NOTICE TO THE DEFENDANT AND APPLICANT If you do not appear, an order may be made in your absence.
Form 31Y APPLICATION FOR VARIATION OR REVOCATION OF INTERVENTION ORDER Youth Court of South Australia Intervention Orders (Prevention of Abuse)Act 2009 Section 26 Court Use Date Filed: This document must be served on the defendant personally Registry File No Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address Applicant Name Surname Given name/s AP Number Address Street Telephone Facsimile City/Town/Suburb State Postcode Email Address Defendant Name DOB Surname Given name/s dd/mm/yyyy The applicant seeks to have the intervention order made on file number dated : revoked varied details of variation sought: a related tenancy order will need to be varied a related problem gambling order will need to be varied Date APPLICANT Hearing details Registry Date Address Time am/pm Telephone Facsimile Email Address Date YOUTH COURT IMPORTANT NOTICE TO THE DEFENDANT AND APPLICANT If you do not appear, an order may be made in your absence.
Form%2031Y%20-%20Application%20for%20Variation%20or%20Revocation%20of%20Intervention%20Order.docx