Court copy
MAGISTRATES COURT of WESTERN AUSTRALIA
APPLICATION IN OR AFTER A PROSECUTION
Criminal Procedure Act 2004
Criminal Procedure Regulations 2005 – Form 6
Court number
Magistrates Court at
Date lodged
Case
(Names of all
parties)
Applicant
Name
(Name of the
party applying)
Address
Contact
Telephone
Number
Application
details
The applicant applies for:
The use of video or audio link for first appearance of an accused in custody, s77, Criminal Procedure
Act 2004.
A change of date for the hearing of the case, s136, Criminal Procedure Act 2004.
Other (please specify)
Signature of
applicant or
lawyer
Date
Applicant/ applicant’s lawyer
HEARING DETAILS
This application will be heard on:
Date and time
Date
Time
or as soon after as
possible, at
Place
Service
details
On
manner:
Method of service:
Person served:
Name of server:
Signature:
, I served a copy of the application referred to above in the following
Applicant’s copy
MAGISTRATES COURT of WESTERN AUSTRALIA
APPLICATION IN OR AFTER A PROSECUTION
Criminal Procedure Act 2004
Criminal Procedure Regulations 2005 – Form 6
Court number
Magistrates Court at
Date lodged
Case
(Names of all
parties)
Applicant
Name
(Name of the
party applying)
Address
Application
details
The applicant applies for:The use of video or audio link for first appearance of an accused in custody, s77, Criminal Procedure
Act 2004.
A change of date for the hearing of the case, s136, Criminal Procedure Act 2004.
Other (please specify)
Signature of
applicant or
lawyer
Date
Applicant/ applicant’s lawyer
HEARING DETAILS
This application will be heard on:
Date and time
Date
Time
or as soon after as
possible, at
Place
Copy for service on respondent
MAGISTRATES COURT of WESTERN AUSTRALIA
APPLICATION IN OR AFTER A PROSECUTION
Criminal Procedure Act 2004
Criminal Procedure Regulations 2005 – Form 6
Court number
Magistrates Court at
Date lodged
Case
(Names of all
parties)
Applicant
Name
(Name of the
party applying)
Address
Application
details
The applicant applies for:
The use of video or audio link for first appearance of an accused in custody, s77, Criminal Procedure
Act 2004.
A change of date for the hearing of the case, s136, Criminal Procedure Act 2004.
Other (please specify)
Signature of
applicant or
lawyer
Date
Applicant/ applicant’s lawyer
HEARING DETAILS
This application will be heard on:
Date and time
Date
Time
or as soon after as
possible, at
Place