FORM 81A-ZA
rule 81A.41(20)
File No: [file number]
ORDER UNDER SECTION 20BJ(1) OR (4) OF
CRIMES ACT 1914 OF THE COMMONWEALTH
To: [Offender's full name]
of [address] 
On [date] you were acquitted of the following offence(s):
CASE & OFFENCE NOS	
OFFENCE	
File number	[No]	[offence]	

because of your mental illness at the time of the offence. 
NOW 
(A)  	This Court orders you, under section 20BJ(1) of the Crimes Act 1914 of the Commonwealth, to be detained in safe custody:
(a) 	in prison; or
(b)	in hospital,
for [period of detention].
OR
(B)	This Court orders, under section 20BJ(4) of the Crimes Act 1914 of the Commonwealth, that you be released from custody:
(i) 	absolutely; or
(ii)	subject to the following condition)(s) for [period]: 
	[state conditions]
Date: [date]
JUDGE