FORM 81A-D
rule 81A.12(2)
SUMMONS TO A PERSON ON COMPLAINT

To [name of defendant] of [address]

You have been charged by [name], a police officer, before the undersigned, a Justice of the Peace, that on [date of breach of bail] you committed a bail offence contrary to section 37B(1) of the Bail Act 1982.

Particulars of bail offence

[set out particulars of bail offence]

You are summoned to appear on [date of hearing] at [time] at Supreme Court Building [State Square, Darwin / 14 Parsons Street, Alice Springs]  before a Judge of the Supreme Court of the Northern Territory to answer the charge, and to be further dealt with according to law.

If you do not appear as required by this summons the Court may issue a warrant for your arrest or proceed to hear the complaint in your absence.

Dated [date], at [place].

…………………………..
Justice of the Peace