FORM 81A-ZD
rule 81A.41(23)
section 93(3) Sentencing Act 1995
IN THE SUPREME COURT 	    
OF THE NORTHERN TERRITORY 				
OF AUSTRALIA			    
AT [DARWIN OR ALICE SPRINGS]

File No: [file number] 
BETWEEN
THE KING
and
[OFFENDER’S NAME]
NOTICE TO SHOW CAUSE
To: [Offender's full name]
of [address] 
You were convicted by the Supreme Court of the Northern Territory on [date] of the following offence(s):
CASE & OFFENCE NOS	
OFFENCE	
File number	[No]	[offence]	

and the following order was made on [date] under Division 1 of Part 5 of the Sentencing Act 1995 in relation to [the offence / those offences]: 
[specify the order/s made].
NOW, this Court being satisfied that you have failed to comply with the order, you are required to appear at [Court] at Supreme Court Building [State Square, Darwin / 14 Parsons Street, Alice Springs] on [date] at [time] to show cause why you should not be detained because of your failure to comply with the order.
Date: [date]
JUDGE