FORM 81A-U
rule 81A.41(14)
File No: [File number]

ORDER TO THE OFFICER IN CHARGE OF
[DARWIN CORRECTIONAL CENTRE / ALICE SPRINGS CORRECTIONAL CENTRE / HOLTZE YOUTH DETENTION CENTRE / DON DALE YOUTH DETENTION CENTRE / OTHER]
I, Justice [name], a Judge of the Supreme Court of the Northern Territory of Australia
ORDER that [name of prisoner]
be removed from the [Darwin Correctional Centre / Alice Springs Correctional Centre / Holtze Youth Detention Centre / Don Dale Youth Detention Centre / Other]
and be:
(a)	imprisoned at [where applicable: name of prison/police prison];  
OR
(b) 	brought before the Supreme Court of the Northern Territory of Australia at [Darwin / Alice Springs] on [date] at [time] and on any further adjournments until the conclusion of the matter and there be committed to the custody of the Sheriff;
I further order the Sheriff and Deputy Sheriffs to receive and cause the prisoner to be detained until ordered by the Court to return the prisoner to prison, or to the lawful custody of prison officers or police officers, or to be otherwise dealt with according to law; 
OR
(c)	produced to [name of place where prisoner is to be moved to].
Date:	[date]
JUDGE