Form 4—ApplicationCourt order to enter
Section 146 of the Local Government Act 2009 (Qld)
I(1) being *the owner/*an employee of the owner of the property described belowOR an *employee/*agent of(2)
(3)
on oath say that (4) who is the occupier of the property described below has refused to allowentry to the property to take action that is necessary under any of the Local Government Acts.
(5)
(6)
(7)
(8)
I hereby make application for the issue of aCourt order authorising me to enter the property between the hours of *a.m./*p.m. and *a.m./*p.m. for a period of days to take all action that is necessary under any Local Government Act.
……………………………..

Signature of applicant

Sworn before me at , in the said State this
day of 20 .
…………………………………………………………….
Commissioner for Declarations/Solicitor/Justice of the Peace
This application will be heard by the Court at (place) on (date of hearing) at *a.m./*p.m.
Applicant
(1)Name
(2) Name of localgovernment
(3) Office address
Suspicion
(4) Occupier’s name
Details
The property:
(5) Description
(6) Situated at
(7) Action necessary
Jurisdiction
(8) Local Government Act and section
Application
Application hearing details

*Delete if inapplicable

Note:1. A copy of the application must be given to the occupier of the property, and

2. If the applicant is not the owner of the property, the owner of the property.

Court order to enter
Section 146 of the Local Government Act 2009 (Qld)
TO (1) being
*the owner/*an employee of the owner of the property described below OR an *employee/*agent of(2)
(3)
The said (4) has this day informed me the undersigned Magistrate on oath that the occupier has refused to allow entry to the property described below to take action that is necessary under any of the Local Government Acts.
(5)
(6)
(7)
(8)
WHEREAS I am satisfied that entry to the property is necessary to allow the person to take action under any of the Local Government Acts.
I ORDER you (9) the said occupier of the property to allow *the owner/*an employee of the owner of the property OR an *employee/*agent of(10) to enter the property between the hours of *a.m./*p.m. and *a.m./*p.m. and take all action that is necessary under any Local Government Act.
The *employee/*agent of (10) may use necessary and reasonable help and force to enter the property.
This Court order stops having effect at *a.m./*p.m. on
20 .
Given under my hand at , in the said State this
day of 20 .
………………………………….
Magistrate
Applicant
(1) Name
(2) Name of local government
(3) Office address
Information
(4) Name
Details
The property:
(5) Description
(6) Situated at
(7) Action necessary
Jurisdiction
(8) Local Government Act and section
Authorisation
(9) Occupier’s name
(10) Name of local government
Expiry
(within 14 days after the Court order is made)

*Delete if inapplicable

Court order issued by Magistrate at *am/*pm on / /20

Form 4 – Application court order tot enter – Local Government Act 2009 (Qld

Version no: July 2017Page 1 of 2