Copy to be attached to court copy of prosecution notice

MAGISTRATES COURT of WESTERN AUSTRALIA
SUMMONS TO AN ACCUSED
Criminal Procedure Act 2004
Criminal Procedure Regulations 2005 - Form 4 /

Court number

Magistrates Court at

Accused’s Details / Full name
Address
Hearing details / The charge(s) in the above prosecution notice dated [insert date] will be dealt with by the above court at the time, date and place stated below.
Date and time / Date / Time
Place
Command / You are commanded to attend personally before the above court at the above hearing to be dealt with according to law.
You must attend at the court until you are released by the court, not only on the above date but also on subsequent days.
Warning / If you do not obey this summons you may be arrested.
Notice / If you do not know what to do, you should get legal advice from a lawyer, the Legal Aid Commission or the Aboriginal Legal Service.
If you will need an interpreter in court, please contact the court.
Issuing details / This summons is issued on [date]
[Title of person issuing summons]
Service details
[*Police only] / I personally served a copy of this summons and the prosecution notice referred to above on the accused at on
Name of server: *Registered no:
Signature: Station:

Copy to be attached to accused copy of prosecution notice

MAGISTRATES COURT of WESTERN AUSTRALIA
SUMMONS TO AN ACCUSED
Criminal Procedure Act 2004
Criminal Procedure Regulations 2005 - Form 4 /

Court number

Magistrates Court at

Accused’s Details / Full name
Address
Hearing details / The charge(s) in the above prosecution notice dated [insert date] will be dealt with by the above court at the time, date and place stated below.
Date and Time / Date / Time
Place
Command / You are commanded to attend personally before the above court at the above hearing to be dealt with according to law.
You must attend at the court until you are released by the court, not only on the above date but also on subsequent days.
Warning / If you do not obey this summons you may be arrested.
Notice / If you do not know what to do, you should get legal advice from a lawyer, the Legal Aid Commission or the Aboriginal Legal Service.
If you will need an interpreter in court, please contact the court.
Issuing details / This summons is issued on [date]
[Title of person issuing summons]
Service details
[*Police only] / I personally served a copy of this summons and the prosecution notice referred to above on the accused at on
Name of server: *Registered no:
Signature: Station:

Return of service copy

MAGISTRATES COURT of WESTERN AUSTRALIA
SUMMONS TO AN ACCUSED
Criminal Procedure Act 2004
Criminal Procedure Regulations 2005 - Form 4 /

Court number

Magistrates Court at

Accused’s Details / Full name
Address
Hearing details / The charge(s) in the above prosecution notice dated [insert date] will be dealt with by the above court at the time, date and place stated below.
Date and Time / Date / Time
Place
Command / You are commanded to attend personally before the above court at the above hearing to be dealt with according to law.
You must attend at the court until you are released by the court, not only on the above date but also on subsequent days.
Warning / If you do not obey this summons you may be arrested.
Notice / If you do not know what to do, you should get legal advice from a lawyer, the Legal Aid Commission or the Aboriginal Legal Service.
If you will need an interpreter in court, please contact the court.
Issuing details / This summons is issued on [date]
[Title of person issuing summons]
Service details
[*Police only] / I personally served a copy of this summons and the prosecution notice referred to above on the accused at on
Name of server: *Registered no:
Signature: Station: