Home | Queensland Courts
Form 38
QUEENSLAND
Penalties and Sentences Act 1992 (section 122 (1))
Penalties and Sentences Regulation 1992
APPLICATION FOR AMENDMENT/REVOCATION OF A COMMUNITY BASED ORDER
TO: The Supreme/District/Magistrates Court at [place]
I, [name of applicant]
of [address of applicant] ,*the offender/authorised corrective services officer/Director of Prosecutions, apply to have to have the Community Based Order mentioned in the Schedule below *amended/revoked.
*It is requested that the Community Based Order be amended by:
The reasons for this application are:
SCHEDULE
Offender:
Offence/s:
Court:
Date of original order:
Type of Order:
Period of Imprisonment:
Period of Community Based Order:
Hours of Service performed:
Date: / /
Place:
* Delete where applicable
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