Form 8a - Record Of Search And Seizure
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2Please use ID label or block print
Please use ID label or block print
CHIEF PSYCHIATRIST
CHIEF PSYCHIATRIST
FAMILY NAME
FAMILY NAME
UMRN
UMRN
OF
OF
WESTERN AUSTRALIA
WESTERN AUSTRALIA
GIVEN NAMES
CMHI
GIVEN NAMES
CMHI
WA MENTAL HEALTH
BIRTHDATE
GENDER
WA MENTAL HEALTH
BIRTHDATE
GENDER
ACT 2014
ACT 2014
ADDRESS
ADDRESS
SECTIONS: 165, 166
SECTIONS: 165, 166
FORM 8A – RECORD OF SEARCH AND SEIZURE
FORM 8A – RECORD OF SEARCH AND SEIZURE
Location of search: ___________________________________________________________
Date and time the search was conducted
Date:
DD/MM/YY
Time
HH:MM
:
Reasons for conducting the search:
Details of any article seized in the course of the search:
If any articles were seized by a person in the course of carrying out a transport order or a
apprehension and return order, details of how the article was dealt with:
Name of person who conducted the search: _______________________________________
Qualifications of person who conducted the search: ________________________________
Signature of person who conducted the search: ___________________________________
Gender of person who conducted the search:
Male
Female
Other
November 2015
November 2015
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