Part 3

Offences against the administration of law and justice, against office and against public authority

In force

Chapter 12Unlawfully obtaining or disclosing information

sch 3 pt 3 ch 12 hdg sub 2020 SL No. 239 s 4 (7)

Form 42Disclosing official secrets

(Section 85. Disclosure of official secrets)

Being (or Having been) employed as [state the public office], unlawfully published (or communicated) information [describe it] that came to his (or her) knowledge (or a document [describe it] that came into his (or her) possession) by virtue of his (or her) office, and that was his (or her) duty to keep secret.

Form 42AObtaining (or Disclosing) secret information about identity of informant

(Section 86. Obtaining of or disclosure of secret information about the identity of informant)

1 Obtained (or Attempted to obtain), without lawful justification or excuse, secret information in the possession of a law enforcement agency, namely [state the agency] (or EF, a law enforcement officer) about the identity of a criminal organisation informant.

2 Published (or Communicated), without lawful justification or excuse, secret information in the possession of (or obtained from) a law enforcement agency, namely [state the agency] (or EF, a law enforcement officer) about the identity of a criminal organisation informant.

sch 3 form 42A ins 2020 SL No. 239 s 4 (8)

Chapter 13Corruption, abuse of office, personating public officers and other false representations

sch 3 pt 3 ch 13 hdg amd 2026 SL No. 51 s 6(1)

Form 43Official corruption (by or of a Minister of the Crown)

(Section 87. Official corruption)

1 Being employed in the public service [or Being the holder of the office of [state the public office] (or being a Minister of the Crown), and being charged by virtue of such employment (or office) with the duty of [state the duty], corruptly asked for (or received or obtained or agreed (or attempted) to receive (or obtain)) [state the property or benefit] on account of his (or her) having in the discharge of the duties of his (or her) office [describe the act done or omitted to be done or to be done].

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

(b) knew (or ought reasonably to have known) the offence was being committed at the direction of a criminal organisation (or at the direction of a participant in a criminal organisation) (or in association with 1 or more persons who were, at the time the offence was committed (or at any time during the course of the commission of the offence), participants in a criminal organisation) (or for the benefit of a criminal organisation).

2 Corruptly gave (or conferred or procured or promised or offered to give (or confer or procure or attempt to procure) (to (or on or for) MN, a person who was employed in the public service (or was the holder of the office of [state the public office] or was a Minister of the Crown], [state the property or benefit] on account of MN having, in the discharge of the duties of his (or her) office [describe the act done or omitted to be done or to be done].

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

sch 3 form 43 amd 2020 SL No. 239 s 8 sch 1 pt 1

Form 44Extortion as a public officer

(Section 88. Extortion by public officers)

Being employed in the public service, took (or accepted) from MN for the performance of his (or her) duty as such officer, a reward (or promise of a reward) beyond his (or her) proper pay and emoluments, namely, [state reward or promise].

Form 45Having an interest in contracts as a public officer

(Section 89. Public officers interested in contracts)

Being employed in the public service in [state the applicable public service department], knowingly acquired (or held), otherwise than as a member of a registered joint stock company consisting of more than 20 persons, a private interest in a contract (or agreement) which had been made on account of the public service about a matter concerning the department.

Form 46Discharging duties while having a private interest

(Section 90. Officers charged with administration of property of a special character or with special duties)

Being employed in the public service, and being charged by virtue of his (or her) employment with judicial (or administrative) duties respecting property (or the carrying on of a manufacture, trade, or business) of a special character, namely [describe it], and having acquired (or holding) a private interest in the property (or manufacture, trade or business), discharged the duties of his (or her) office with respect to the property (or manufacture, trade or business) (or with respect to the conduct of MN in relation to the property (or manufacture, trade or business)) in which he (or she) had the interest.

Form 47False claims as an official

(Section 91. False claims by officials)

Being employed in the public service and required (or enabled) to furnish returns (or statements) touching the remuneration (claimed to be) payable to himself (or herself) (or to MN) (or touching [describe the matter] required by law to be certified for a payment of money (or the delivery of particular goods) to MN), made a return (or statement) touching the remuneration (or matter) which was to his (or her) knowledge false in a material particular, namely [set out the false statement].

Form 48Abuse of office (for gain)

(Section 92. Abuse of office)

Being employed in the public service, did (or directed to be done), in abuse of the authority of his (or her) office of [describe the office], an arbitrary act, namely [describe the act], which act was prejudicial to the rights of EF.

And the act was done for gain.

Form 48AMisconduct in relation to public office

(Section 92A. Misconduct in relation to public office)

1 Being a public officer, dealt with information gained because of public office (or performed (or failed to perform) a function of office, or did an act [specify act or acts] (or made an omission [specify omission or omissions]) in abuse of the authority of office), with intent to dishonestly gain a benefit for himself (or herself (or EF)).

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

2 Who had ceased to be a public officer in his (or her) capacity as (specify capacity), dealt with information gained because of that capacity with intent to dishonestly gain a benefit for himself (or herself) (or EF) (or to dishonestly cause a detriment to EF).

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

sch 3 form 48A ins 2010 SL No. 187 s 4 (15)

amd 2020 SL No. 239 s 8 sch 1 pt 1

Form 49Corruption as a surveyor (or valuator)

(Section 93. Corruption of surveyor and valuator)

1 Having been appointed under the [state the statute] to be a valuator for determining the compensation to be paid to MN for land compulsorily taken from him (or her) (or for injury done to land) under the authority of the statute, acted as such valuator while he (or she) to his (or her) knowledge had an interest in the land.

2 Having been appointed under the [state the statute] to be a valuator for determining the compensation to be paid to MN for land compulsorily taken from him (or her) (or for injury done to land) under the authority of the statute, executed unfaithfully (or dishonestly or with partiality) the duty of making a valuation of the land (or of the extent of the injury).

Form 50False certificates as a public officer

(Section 94. False certificates by public officers)

Being authorised (or required) by law to give a certificate touching, [describe the nature of the matter about which the certificate is to be given, so as to show that the rights of some person might be prejudicially affected by it], gave a certificate which was to his (or her) knowledge false in a material particular, namely [set out the false statement].

Form 51Administering extra-judicial oaths

(Section 95. Administering extra-judicial oaths)

Administered to MN an oath (or Took the solemn declaration (or affirmation or affidavit) of MN) touching [state the subject matter] about which he (or she) had not by law any authority to do.

Form 52Falsely assuming authority

(Section 96. False assumption of authority)

1 Not being a justice, assumed to act as a justice.

2 Without authority, assumed to act as a person having authority by law to administer an oath (or to take a solemn declaration (or affirmation or affidavit)) (or to do an act of a public nature, namely [describe it] which could only be done by persons authorised by law to do so).

3 Represented himself (or herself) to be a person authorised by law to sign a document testifying to the contents of a register (or record) of [describe it] kept by lawful authority (or testifying to the fact that [describe the fact or event]) and signed such document as being so authorised when knowing he or she was not in fact so authorised.

Form 53Personating a public officer

(Section 97. Personating public officers)

1 Personated EF, who was employed in the public service as [state EF’s office], on an occasion [if necessary, identify occasion] when EF was required by virtue of his (or her) employment to [describe act to be done or place to attend].

2 Falsely represented himself (or herself) to be employed in the public service as [state the office assumed], and assumed to [describe act done or place to attend] by virtue of such employment.

Form 53AFalse representations in relation to government agencies

(Section 97A. False representations in relation to government agencies)

Made a false representation that they were a government agency (or acting on behalf of (or with the authority of) a government agency), namely [state the government agency].

sch 3 form 53A ins 2026 SL No. 51 s 6(2)

Chapter 14Corrupt and improper practices at electionsForm 54Giving false (or misleading) information at Legislative Assembly election (or referendum)

(Section 98B. False or misleading information)

Gave information (in a document) to the Electoral Commission of Queensland under the Electoral Act 1992 (or the Referendums Act 1997) that AB knew was false (or misleading) in a material particular.

sch 3 form 54 sub 2010 SL No. 187 s 4 (16)

amd 2020 SL No. 239 s 4 (9)–(10)

Form 54ABribery at Legislative Assembly election (or referendum)

(Section 98C. Bribery)

1 Asked for (or Received or Offered (or Agreed) to ask for (or receive)) [state benefit] for himself (or herself or OP) on the understanding that his (or her) election conduct would be influenced (or affected).

2 Gave [state benefit] to EF (or OP) in order to influence (or affect) EF’s election conduct.

sch 3 form 54A ins 2010 SL No. 187 s 4 (16)

amd 2020 SL No. 239 s 4 (11)

Form 54BForging (or Uttering) electoral (or referendum) paper at Legislative Assembly election (or referendum)

(Section 98D. Forging or uttering electoral or referendum paper)

1 Forged an electoral (or referendum) paper (or Uttered a forged electoral (or referendum) paper knowing it was forged).

2 Made the signature of EF on an electoral (or referendum) paper without being authorised to do so under the Electoral Act 1992 (or the Referendums Act 1997).

sch 3 form 54B ins 2010 SL No. 187 s 4 (16)

amd 2020 SL No. 239 s 4 (11)

Form 54CInfluencing voting at Legislative Assembly election (or referendum)

(Section 98E. Influencing voting)

Improperly influenced the vote of EF, a person at an election (or referendum).

sch 3 form 54C ins 2010 SL No. 187 s 4 (16)

amd 2020 SL No. 239 s 4 (11)

Form 54DProviding money for an illegal payment

(Section 98F. Providing money for illegal payments)

Knowingly provided money for a payment (or to replace money that had been spent in making a payment) that was contrary to [state the provision breached].

sch 3 form 54D ins 2010 SL No. 187 s 4 (16)

Form 54EVoting when not entitled at Legislative Assembly election (or referendum)

(Section 98G. Voting if not entitled)

At an election (or referendum)—

1 Voted in the name of EF; or

2 Voted more than once; or

3 Knowingly cast a vote that he (or she) was not entitled to cast; or

4 Procured EF to vote and to his (or her) knowledge EF was not entitled to vote.

sch 3 form 54E ins 2010 SL No. 187 s 4 (16)

amd 2020 SL No. 239 s 4 (11)

Form 54FVoting when not entitled

(Section 99. Voting if not entitled)

1 Voted at an election in the name of EF.

2 Voted at an election more often than he (or she) was entitled to vote.

3 Cast a vote at an election that he (or she) knew he (or she) was not entitled to cast.

4 Procured EF to vote at an election when, to his (or her) knowledge, EF was not entitled to vote at the election.

5 Attested the signature of EF to a voting paper at an election for which the voting was by post when, to his (or her) knowledge, EF was not entitled to vote at the election by way of the voting paper.

sch 3 form 54F ins 2010 SL No. 187 s 4 (16)

Form 55Hindering (or Interfering) with voting conduct

(Section 100. Hindering or interfering with voting conduct)

1 In order to hinder (or interfere with) EF’s voting conduct,

(a) acted fraudulently; or

(b) used (or threatened to use) force against EF (or GF); or

2 Caused (or Threatened to cause) a detriment to EF because of EF’s (or GF’s) voting conduct.

sch 3 form 55 sub 2010 SL No. 187 s 4 (16)

Form 56Bribery at an election

(Section 101. Bribery)

1 Asked for (or Received or Offered (or Agreed) to ask for (or receive)) [state benefit] for himself (or herself or GH) on the understanding that his (or her) election conduct would be influenced (or affected).

2 Gave (state benefit) to EF (or GH) in order to influence (or affect) EF’s election conduct.

sch 3 form 56 sub 2010 SL No. 187 s 4 (16)

Form 57Publishing false information about a candidate

(Section 102. Publishing false information about a candidate)

Knowingly published, before (or during) an election, false information about—

(a) a candidate’s personal character (or conduct); or

(b) whether a candidate had withdrawn from the election;

in order to affect the election result.

sch 3 form 57 sub 2010 SL No. 187 s 4 (16)

Form 58Providing money for illegal payments

(Section 103. Providing money for illegal payments)

1 Knowingly provided money for a payment that was contrary to [state the provision contravened].

2 Knowingly provided money to replace money that had been spent in making a payment that was contrary to [state the provision contravened].

sch 3 form 58 sub 2025 SL No. 157 s 6(6)

Form 59Failing to state particular matters in election notices

(Section 104. Election notices to contain particular matters)

Before (or during) an election, printed (or published) (or permitted EF to print (or publish)) an election notice for the election that did not state the name and address of the person who authorised the notice.

sch 3 form 59 sub 2025 SL No. 157 s 6(6)

Form 60

sch 3 form 60 om 2010 SL No. 187 s 4 (17)

Form 61

sch 3 form 61 om 2010 SL No. 187 s 4 (17)

Form 62

sch 3 form 62 om 2010 SL No. 187 s 4 (17)

Form 63Interfering at an election

(Section 108. Interference at elections)

2 Wilfully interrupted (or obstructed or disturbed) proceedings at an election.

sch 3 form 63 amd 2010 SL No. 187 s 4 (18)

Form 64Attempting to violate ballot secrecy

(Section 109. Electors attempting to violate secrecy of ballot)

Having received a ballot paper from ST, the presiding officer at an election—

(a) wilfully made (or wrote) on the ballot paper a mark (or particular words (or figures)) not expressly authorised by law; or

(b) wilfully failed to fold up his (or her) ballot paper in a way to conceal how he (or she) had voted; or

Form 65Stuffing ballot boxes

(Section 110. Stuffing ballot boxes)

Wilfully puts in a ballot box a ballot paper that has not been lawfully handed to and marked by an elector.

sch 3 form 65 sub 2010 SL No. 187 s 4 (19)

Form 66Election offence as a presiding officer

(Section 111. Presiding officer helping an elector with a disability)

Being a presiding officer at an election, wilfully failed to mark the ballot paper of EF, who is blind (or unable to vote without help), in the way requested by EF and in the sight of GH (or anyone else) lawfully present.

sch 3 form 66 sub 2010 SL No. 187 s 4 (19)

Form 67Giving false (or misleading) information

(Section 112. False or misleading information)

Gave to EF, under the [specify the authorising Act for the election] and for a purpose relating to an election, information that AB knew was false (or misleading) in a material particular.

sch 3 form 67 sub 2010 SL No. 187 s 4 (19)

Form 68Interfering with secrecy at an election

(Section 113. Interfering with secrecy at elections)

1 Unfolded a ballot paper that was marked and folded by EF, an elector, at the election.

2 Being an officer at an election, ascertained (or discovered or attempted to ascertain (or discover)) how EF voted at the election.

3 Being an officer at an election, disclosed information about how EF voted at the election.

4 Being an officer at an election, placed a mark (or writing) on EF’s ballot paper.

sch 3 form 68 sub 2010 SL No. 187 s 4 (19)

Form 69Breaking seal of a parcel used at an election

(Section 114. Breaking the seal of a parcel at elections)

Wilfully opened (or broke the seal of) a parcel sealed under the [state authorising Act for the election].

sch 3 form 69 sub 2010 SL No. 187 s 4 (19)

Form 70

sch 3 form 70 om 2010 SL No. 187 s 4 (19)

Form 71

sch 3 form 71 om 2010 SL No. 187 s 4 (19)

Form 72

sch 3 form 72 om 2010 SL No. 187 s 4 (19)

Form 73

sch 3 form 73 om 2010 SL No. 187 s 4 (19)

Chapter 15Selling and trafficking in officesForm 74Bargaining for an office in the public service

(Section 118. Bargaining for offices in public service)

1 Corruptly asked for (or received or obtained or agreed (or attempted) to receive (or obtain)) [state the property or benefit] for himself or herself (or CD), on account of his or her (or CD) having [describe the thing done, or omitted to be done, or to be done etc], with regard to the (contemplated) appointment of MN to an office or employment (or the application for employment by MN) in the public service.

2 Corruptly gave (or conferred or procured or promised or offered to give (or confer or procure or attempt to procure)) to (or on or for) CD [state the property or benefit] on account of CD having [describe the thing done, or omitted to be done, or to be done etc], with regard to the (contemplated) appointment of MN to an office or employment (or the application for employment by MN) in the public service.

Chapter 16Offences relating to the administration of justiceForm 74ARetaliation against (or Intimidation of) a (family member of a) judicial officer (or juror or witness or member of a community justice group)

(Section 119B. Retaliation against or intimidation of judicial officer, juror, witness etc.)

Caused (or Threatened to cause) an injury (or detriment) to EF, a judicial officer (or a juror or a witness or a member of a community justice group) (or MN, a member of the family of EF, a judicial officer (or a juror or a witness or a member of a community justice group)), without reasonable cause, for the purpose of retaliation (or intimidation) because EF, as a judicial officer (or a juror or a witness or a member of a community justice group), [describe the thing lawfully done or omitted to be done or that may have been lawfully done etc.].

And the act was done in relation to a proceeding before a court for a prescribed offence charged with the circumstance of aggravation stated in the Penalties and Sentences Act 1992, section 161Q.

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

sch 3 form 74A ins 2003 SL No. 42 s 3 (1)

amd 2010 SL No. 187 s 4 (20)–(21)

sub 2020 SL No. 239 s 4 (12)

Form 75Judicial corruption

(Section 120. Judicial corruption)

1 Corruptly asked for (or received or obtained or agreed (or attempted) to receive (or obtain)) [state the property or benefit], for himself (or herself) (or for QR), on account of having, in his (or her) judicial capacity [describe the thing done or omitted to be done, or to be done etc].

2 Corruptly gave (or conferred or procured or promised or offered to give (or confer or procure or attempt to procure)) to (or on or for) MN, a judicial officer, namely [describe it], [state the property or benefit], on account of MN having, in his (or her) judicial capacity [describe the thing done or omitted to be done, or to be done etc].

3 Corruptly gave (or conferred or procured or promised or offered to give (or confer or procure or attempt to procure)) to (or on or for) GH, [state the property or benefit], on account of MN, a judicial officer, having, in his (or her) judicial capacity [describe the thing done or omitted to be done, or to be done etc].

sch 3 form 75 amd 2003 SL No. 42 s 3 (2)–(3)

Form 76Official corruption in the administration of justice

(Section 121. Official corruption not judicial but relating to offences)

1 Being a justice not acting judicially (or Being a person employed in the public service as [state capacity], in which capacity he (or she) was concerned in the prosecution (or detention or punishment) of offenders), corruptly asked for (or received or obtained or agreed (or attempted) to receive (or obtain)) [state the property or benefit] for himself (or herself or for GH), on account of his (or her), having [describe the thing done or omitted to be done, or to be done etc], to corruptly (or improperly) interfere with the administration of justice (or to procure (or facilitate) the commission of an offence, or to protect an offender (or intending offender) from detection (or punishment)).

2 Corruptly gave (or conferred or procured or promised (or offered) to give (or confer or procure or attempt to procure)) to (or on or for) MN, a justice not acting judicially (or a person employed in the public service as [state capacity], in which capacity he (or she) was concerned in the prosecution (or detention or punishment) of offenders) on account of MN having [describe the thing done or omitted to be done, or to be done etc], to corruptly (or improperly) interfere with the administration of justice (or to procure (or facilitate) the commission of an offence, or to protect an offender (or intending offender) from detection (or punishment)).

3 Corruptly gave (or conferred or procured or promised (or offered) to give (or confer or procure or attempt to procure)) to (or on or for) GH, [state the property or benefit], on account of MN, a justice not acting judicially (or a person employed in the public service as [state capacity], in which capacity he (or she) was concerned in the prosecution (or detention or punishment) of offenders), having [describe the thing done or omitted to be done, or to be done etc], to corruptly (or improperly) interfere with the administration of justice (or to procure (or facilitate) the commission of an offence, or to protect an offender (or intending offender) from detection (or punishment)).

Form 77Corruption of a juror

(Section 122. Corruption of jurors)

1 Attempted by threat (or by intimidation or by [describe the benefit or promise, or other corrupt means]) to influence EF, a juror (or a person to be sworn as a juror) in EF’s conduct as a juror, in [state the judicial proceeding].

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

2 Accepted [describe the benefit or promise] on account of his (or her) capacity as a juror (or a person to be sworn as a juror) [describe thing done or to be done] in [state the judicial proceeding].

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

sch 3 form 77 amd 2003 SL No. 42 s 3 (4); 2020 SL No. 239 s 8 sch 1 pt 1

Form 78Perjury (with a circumstance of aggravation)

(Section 123. Perjury)

(Section 123A. Perjury—contradictory statements)

(Section 124. Punishment of perjury)

1 In (or For the purpose of instituting) a judicial proceeding, namely [describe it], knowingly gave false testimony to the effect that [set out the false testimony], and the false testimony touched a matter which was material to a question then depending (or intended to be raised) in the proceeding.

And AB committed the crime in order to procure the conviction of EF for a crime punishable with imprisonment for life.

2 In [or For the purpose of instituting] a judicial proceeding, namely [describe it], made 2 statements, one of which is irreconcilably in conflict with the other, and made one of the statements knowing it to be false and the false testimony touched a matter which was material to a question then depending (or intended to be raised) in the proceeding.

And AB committed the crime in order to procure the conviction of EF for a crime punishable with imprisonment for life.

Form 79Fabricating evidence

(Section 126. Fabricating evidence)

1 With intent to mislead [state the tribunal] in a judicial proceeding, namely [describe it], fabricated evidence, namely [describe it].

2 With intent to mislead [state the tribunal] in a judicial proceeding, namely [describe it], knowingly made use of fabricated evidence, namely [describe it].

Form 80Corrupting a witness

(Section 127. Corruption of witnesses)

1 Gave (or Conferred or Procured or Promised or Offered to give (or confer or procure or attempt to procure)) to (or on or for) MN, [state the property or benefit], on an agreement (or understanding) that MN (or OP) who had been called (or who was to be called) as a witness in a judicial proceeding, namely [describe it], should give false testimony (or should withhold true testimony).

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

2 Attempted by [describe the way] to induce EF, who had been called (or who was to be called) as a witness in a judicial proceeding, namely [describe it] to give false testimony (or to withhold true testimony).

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

3 Asked for (or Received or Obtained or Agreed (or Attempted) to receive (or obtain)) [state the property or benefit] for himself (or herself) (or for GH), on an agreement (or understanding) that he (or she) (or GH or IJ) should give false testimony (or should withhold true testimony) as a witness in a judicial proceeding, namely [describe it].

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

sch 3 form 80 amd 2010 SL No. 187 s 4 (22); 2020 SL No. 239 s 8 sch 1 pt 1

Form 81Deceiving a witness

(Section 128. Deceiving witnesses)

Knowingly made (or exhibited) a false statement (or representation, token or writing) (or practised fraud (or deceit), [describe it]) to EF, who had been called (or was to be called) as a witness in a judicial proceeding, namely [describe it], with intent to affect the testimony of EF as a witness.

Form 82Damaging evidence with intent

(Section 129. Damaging evidence with intent)

Knowing that [describe thing], was (or might be) needed in evidence in a judicial proceeding, namely [describe it], damaged it with intent to stop it from being used in evidence.

sch 3 form 82 sub 2010 SL No. 187 s 4 (23)

Form 83Preventing a witness from attending

(Section 130. Preventing witnesses from attending)

Wilfully prevented (or attempted to prevent) EF, who had been summoned to attend as a witness before the [state the court or tribunal], from attending as a witness (or from producing in evidence pursuant to his (or her) subpoena (or summons) [describe thing to be produced]).

sch 3 form 83 amd 2010 SL No. 187 s 4 (24)

Form 84Conspiracy to bring false accusation (with a circumstance of aggravation)

(Section 131. Conspiracy to bring false accusation)

Conspired together (or with another person) to charge EF (or to cause EF to be charged) with the offence of [state offence e.g. by using the schedule form heading], alleged to have been committed in [place], knowing that EF was innocent of the alleged offence (or not believing that EF was guilty of the alleged offence).

And the alleged offence was such that a person convicted of it was liable to be sentenced to imprisonment (for life).

sch 3 form 84 amd 2000 SL No. 203 s 18 (1)

Form 85Conspiracy to defeat justice

(Section 132. Conspiracy to defeat justice)

Conspired together (or with another person) to obstruct (or prevent or pervert or defeat) the course of justice by [describe how].

Form 86Compounding an indictable offence (with a circumstance of aggravation)

(Section 133. Compounding an indictable offence)

Asked for (or Received or Obtained or Agreed (or Attempted) to receive (or obtain)) [state the property or benefit] for himself (or herself) (or MN) on an agreement (or understanding) that he (or she), would compound (or conceal) (or abstain from or discontinue or delay the prosecution of) the indictable offence of [state offence e.g. by using the schedule form heading] (or would withhold evidence of the indictable offence of [state offence e.g. by using the schedule form heading]).

And the indictable offence was such that a person convicted of it was liable to be sentenced to imprisonment for life.

sch 3 form 86 sub 2010 SL No. 187 s 4 (25)

Form 87

sch 3 form 87 om 2010 SL No. 187 s 4 (26)

Form 88

sch 3 form 88 om 2010 SL No. 187 s 4 (26)

Form 89

sch 3 form 89 om 2010 SL No. 187 s 4 (26)

Form 90Acting as a justice with a personal interest

(Section 136. Justices exercising jurisdiction in a matter of personal interest)

Being a justice, wilfully and perversely exercised jurisdiction in a matter in which he (or she) had a personal interest, namely, [describe the interest].

sch 3 form 90 sub 2010 SL No. 187 s 4 (27)

Form 91Delaying to take person arrested before magistrate

(Section 137. Delay to take person arrested before magistrate)

Having arrested MN on a charge of an offence, wilfully and without lawful excuse delayed taking MN before a justice to be dealt with according to law.

sch 3 form 91 prev sch 3 form 91 om 2010 SL No. 187 s 4 (28)

pres sch 3 form 91 ins 2025 SL No. 157 s 6(7)

Form 92

sch 3 form 92 om 2020 SL No. 239 s 4 (13)

Form 93Inserting advertisement without authority of court

(Section 139. Inserting advertisement without authority of court)

1 Inserted without authority (or Without authority caused to be inserted) in the gazette (or in a newspaper called [state its name]) an advertisement purporting to be published under the authority of the [state the court].

2 Inserted (or Caused to be inserted) in the gazette (or in a newspaper called [state its name]) an advertisement purporting to be published under the authority of the [state the court], knowing it to be false in a material particular, namely, [set out false statement].

Form 94Attempting to pervert justice

(Section 140. Attempting to pervert justice)

Attempted by [describe how] to obstruct (or prevent, pervert, or defeat) the course of justice.

And AB, at the time the offence was committed (or at any time during the course of the commission of the offence)—

(a) was a participant in a criminal organisation; and

sch 3 form 94 amd 2020 SL No. 239 s 8 sch 1 pt 1

Chapter 17Escapes—obstructing officers of courtsForm 95Aiding a person to escape from lawful custody

(Section 141. Aiding persons to escape from lawful custody)

1 Aided MN, who was in lawful custody, to escape (or attempt to escape) from lawful custody.

2 Conveyed [state thing conveyed] to MN, a person in lawful custody, (or to a place where MN was or was to be in lawful custody) with the intention of aiding MN to escape from lawful custody.

3 Freed MN from lawful custody without authority.

Form 96Escaping from lawful custody

(Section 142. Escape by persons in lawful custody)

Escaped from lawful custody.

Form 97Permitting escape

(Section 143. Permitting escape)

Being responsible for keeping MN in lawful custody, permitted MN to escape.

Form 98Harbouring an escaped prisoner

(Section 144. Harbouring escaped prisoners etc.)

Harboured (or Maintained or Employed) MN, knowing that MN had escaped from lawful custody.

Form 99

sch 3 form 99 om 2010 SL No. 187 s 4 (28)

Form 100Removing property under lawful seizure

(Section 147. Removing etc. property under lawful seizure)

Knowingly, and with intent to hinder (or defeat) the attachment (or process), received (or removed, retained, concealed, or disposed of) [describe the property], which had been attached by (or taken under process or authority of) [state the court or justice].

Form 101Obstructing a court officer

(Section 148. Obstructing officers of courts of justice)

Wilfully obstructed (or resisted) EF, who was lawfully charged with the execution of an order (or warrant) of [state the court].

Chapter 20Miscellaneous offences against public authorityForm 102Making a false verified statement

(Section 193. False verified statements)

(Section 195A. Contradictory statements—false statements or declarations)

1 Made a verified statement, required by law to be made on oath [or describe the sanction substituted for an oath] (or by solemn declaration (or affirmation)) knowing that it was false in a material particular, namely [set out false statement].

2 Made 2 verified statements, required by law to be made on oath [or describe the sanction substituted for an oath] (or by solemn declaration (or affirmation)), 1 of which is irreconcilably in conflict with the other, and made 1 of the verified statements knowing that it was false in a material particular.

sch 3 form 102 sub 2010 SL No. 187 s 4 (29)

Form 103Making a false declaration

(Section 194. False declarations)

(Section 195A. Contradictory statements—false statements or declarations)

1 Made a declaration before MN, who was authorised by law to take (or receive) declarations, knowing that the declaration was false in a material particular, namely [set out false statement].

2 Made 2 declarations before MN [or made one declaration before MN and another declaration before XY], who was (were) authorised by law to take (or receive) declarations, 1 of which is irreconcilably in conflict with the other, and made 1 of the declarations knowing it to be false in a material particular.

Form 104Resisting a public officer

(Section 199. Resisting public officers)

1 Obstructed (or Resisted) EF, a public officer, while he (or she) was engaged in the (attempted) discharge of the duties of his (or her) office as [state the office] under [state the statute].

2 Obstructed (or Resisted) EF, while he (or she) was engaged in the (attempted) discharge of the duty of [state the duty], which was imposed on him (or her) by [state the statute].

Form 105Refusing to perform duty as a public officer

(Section 200. Refusal by public officer to perform duty)

Was employed in the public service (or as an officer of [state the court or tribunal]) and perversely and without lawful excuse omitted (or refused) to [state act], which by virtue of his (or her) employment, it was his (or her) duty to do.

Form 106

sch 3 form 106 om 2010 SL No. 187 s 4 (30)

Form 107

sch 3 form 107 om 2010 SL No. 187 s 4 (30)

Form 108

sch 3 form 108 om 2010 SL No. 187 s 4 (30)

Form 109Disobeying [state the statute]

(Section 204. Disobedience to statute law)

1 Without lawful excuse [describe the act done], contrary to the provisions of [state the statute].

2 Without lawful excuse omitted to [describe the omitted act], as by the provisions of [state the statute] he (or she) was required to do.

Form 110Disobeying a lawful order of a statutory authority

(Section 205. Disobedience to lawful order issued by statutory authority)

Without lawful excuse, disobeyed a lawful order issued by [state the court or person authorised to make the order], namely [describe the substance of the order].

Form 110AContravening order about device information from digital device

(Section 205A. Contravening order about device information from digital device)

1 Contravened, without reasonable excuse, an order made under the Police Powers and Responsibilities Act 2000, section 154(1) (or (2)) (or 154A(2) or 178A(1)).

2 Contravened, without reasonable excuse, an order made under the Crime and Corruption Act 2001, section 88A(1) (or (2)) (or 88B(2)).

sch 3 form 110A ins 2020 SL No. 239 s 4 (14)

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