Date: Signed by (full name) Applicant Rule 14(2) Form SA1C Application for variation of surveillance warrant APPLICATION FOR VARIATION OF SURVEILLANCE WARRANT Surveillance Devices Act 2016 s 17 Note— If the warrant has previously been renewed/varied, this form should be modified so that the details of any previous renewals/variations are set out clearly. name (in full): Applicant’s Name of investigating agency to which applicant belongs: rank/position: Applicant’s Application 1. I apply for variation of the warrant issued to me under section 17 of the Surveillance Devices on (insert by (insert a Judge of the Supreme Court of Act 2016 date of issue) name of Judge), South Australia. 2. The warrant conferred the following powers: (a) the power to use (insert surveillance devices(s) number sought) (b) the power to enter or interfere with (provide details (e.g. address, registration for number) of any premises, vehicle or thing sought to be entered or interfered with)
Date: Signed by (full name) Applicant Rule 14(2) Form SA1C Application for variation of surveillance warrant APPLICATION FOR VARIATION OF SURVEILLANCE WARRANT Surveillance Devices Act 2016 s 17 Note— If the warrant has previously been renewed/varied, this form should be modified so that the details of any previous renewals/variations are set out clearly. Applicant’s name (in full): Name of investigating agency to which applicant belongs: Applicant’s rank/position: Application 1. I apply for variation of the warrant issued to me under section 17 of the Surveillance Devices Act 2016 on (insert date of issue) by (insert name of Judge), a Judge of the Supreme Court of South Australia. 2. The warrant conferred the following powers: (a) the power to use (insert number sought) surveillance devices(s) (b) the power to enter or interfere with (provide details (e.g. address, registration number) of any premises, vehicle or thing sought to be entered or interfered with) for
Supreme%20Court%20Special%20Applications%20Supplementary%20Rules%202014%20-%20Schedule%20-%20Approved%20Forms.docx