FORM 10

QUEENSLAND

Justices Act 1886

Section 78

SUMMONS OF A WITNESS

To the witness: ______
(Name of witness)
of: ______
(Address of witness)
A complaint was made before a Justice of the Peace that:
(offence in full).
You are required to appear at:
Court: *Magistrates / *Childrens
Place: ______
Date: ______
Time: ______
*Court No: ______
to testify before the justices present about what you know concerning the complaint.
*And you are required to bring with you and produce all documents and writings in your possession or power, namely: [describe]

#NOTICE TO WITNESS

You are required to give evidence in court for the Prosecution.
Arrangements for any long distance travel to the town where the Court sits will be made by the Queensland Police Service.
Arrangements for your accommodation if you are necessarily absent overnight will be made by the Queensland Police Service (if you require it).
The Queensland Police Service will pay your entitlement to:
(1)  an allowance towards your loss of income (if applicable);
(2)  an accommodation allowance which includes meals when you are required to be absent from your home overnight (if applicable); and
(3)  a travelling allowance (if applicable) – namely public transport or equivalent cost.
The allowances payable are approved under administrative arrangement. Expenses which exceed this allowance are to be paid by you. The current rate payable can be obtained from http://www.police.qld.gov.au/services/forms/InfoWitness.htm
All enquiries regarding your transport, accommodation or the court proceedings should be directed to the investigating Police Officer.
Police Officer: ______Station: ______Phone: ______
Given under my hand at:
Place:
Date:
______
Justice of the Peace
NOTE: If you neglect or refuse to appear at the time and place appointed by this summons, and no just excuse is offered for such neglect or refusal, the justices may then and there impose a fine upon you in your absence.. The justices may also issue their warrant to bring you before such justices at a later time and place to testify about what you know concerning the complaint.

OATH OF SERVICE

I,
of
do swear that on the / day of / ,
(Day) (Month) (Year)
I served the witness with a copy of the within summons by:
* c / (a) / delivering a copy thereof to the witness personally at:
* c / (b) / leaving a copy thereof with:
for the witness at:
usual place of *residence/*business of the witness who could not reasonably be found;
* c / (c) / leaving a copy thereof with:
for the witness at:
*the place of *residence/*business last known to me of the witness who could not reasonably be found’
* c / (d) / leaving a copy thereof with
a person apparently employed at a place where the doctor practises,
for the witness at
being a place where the doctor practises.

Deponent

Signed and *sworn/*affirmed by the said deponent at: / ______
this: ______/ day of: ______, / before me,
Justice of the Peace / ______

* Delete whichever is not applicable.

*delete whichever is not applicable Form 10, Version 7, date of gazettal Page 1 of 2

# This section applies to prosecution witnesses, summoned on behalf of Queensland Police Service. Delete if not applicable.