Version 2 Form 3 QUEENSLAND Corrective Services Act 2006 (s. 26) NOTICE OF INTENT TO MARRY Queensland Corrective Services Prisoner: [name of prisoner] Date of Birth: [insert DOB] Identification Number: [insert ID number] Under section 26 of the Corrective Services Act 2006 I am notifying the chief executive that I intend to lodge a notice of intent to marry the following person, under the Marriage Act 1961 (Cth)— [insert full name of person marrying]. I seek approval to be married at the [insert name of corrective services facility ] corrective services facility on [insert date of proposed marriage] (cross out if not marrying in a corrective services facility). Signature: ......................................... Date: [insert date] Note: Maximum penalty for failure to notify the chief executive before lodging a notice of intention to marry - 20 penalty units. Office use only DECISION CONCERNING PLACE OF CEREMONY The application to be married at [insert name of corrective services facility] submitted by the above-mentioned prisoner is— [Approved / Not Approved] Details of any conditions: [insert conditions to be attached to any approval granted] [insert conditions to be attached to any approval granted] [insert conditions to be attached to any approval granted] Signature: ......................................... [*chief executive / delegate] Date: [insert date] *Delete whichever is inapplicable Privacy Statement The Department of Justice and Attorney - General is collecting the information on this form to determine an application made by an offender of the intent to marry in a corrective services facility under Sections 26, 263 and 341 of the Corrective Services Act 2006. The Department of Justice and Attorney – General usually gives some or all of this information to the Queensland Police Service or other State, interstate, Commonwealth and international government departments or other entities; to private organisations which provide services to offenders and, in some circumstances, to individuals.