Version 3
Form 31
QUEENSLAND
Corrective Services Act 2006 ss 199 and 200
COURT ORDERED PAROLE ORDER
[Name of Court] Court (the Court)
Prisoner: [Full name of prisoner]
Date of Birth:
Identification Number:
The abovementioned prisoner was convicted of [offence/s] at [location of convicting court] on [date
of conviction] and sentenced to a term/period of [years or months] imprisonment.
The court directed that the prisoner be released to parole on
The prisoner's release is subject to the following conditions, that the prisoner—
a)
be under the supervision of the chief executive, Queensland Corrective Servicesa. until the end of the prisoner’s period of imprisonment; or
b. if the prisoner is being detained in an institution for a period fixed by a judge under the
Criminal Law Amendment Act 1945, part 3 - for the period the prisoner was directed to be
detained;
b)
carry out the chief executive or delegate’s lawful instructions;
c)
give a test sample as directed by the chief executive or delegate ;
d)
report to and receive visits as directed by the chief executive or delegate ;
e)
notify the chief executive or delegate within 48 hours of any change of address or employment
during the parole period and;
f)
not commit an offence.
This order shall remain in force until [date of expiry of order] unless otherwise determined by the board.
Signature: ______________________
Delegate
Date:
I, [prisoner's name] , declare that I understand and will comply with the conditions of this parole order.
Dated at …………...................... this …………............................... day of ……............................... 20
Signature: ________________________