Request for contested summary hearing
Form 12 Request for contested summary hearing
Rule 23
Request for contested summary hearing
In the Magistrates' Court of |
Victoria at [venue] | Court Ref.: | |||
Informant: | Accused: | |||
🞏 The accused is not legally represented |
🞏 The accused is represented by: | ||||
Estimated hearing time: | ||||
YES | NO | |||
Has a summary case conference been held? | 🞏 | 🞏 | ||
Does the accused consent to summary jurisdiction? | 🞏 | 🞏 | ||
OFFENCES
YES | NO | ||
Are there co-offenders? | 🞏 | 🞏 | |
If yes, names of co-offenders: |
Is it an alleged sexual offence? | 🞏 | 🞏 | |
Is it alleged that the offence arises out of an act of family violence? | 🞏 | 🞏 | |
ISSUES IN DISPUTE
YES | NO | ||
Factual arguments | 🞏 | 🞏 | |
Question of law | 🞏 | 🞏 | |
Self defence | 🞏 | 🞏 | |
Alibi | 🞏 | 🞏 | |
Voir dire/Preliminary issues for determination | 🞏 | 🞏 | |
If yes to any of the above, description of issue | |||
YES | NO | ||
Application for a confidential communication or protected health information? | 🞏 | 🞏 | |
If yes, date of application: | |||
Application in relation to sexual activities of the complainant? | 🞏 | 🞏 | |
If yes, date of application: | |||
Tendency/coincidence notices? | 🞏 | 🞏 | |
If yes, date to be served by: | |||
Hearsay notices? | 🞏 | 🞏 | |
If yes, date to be served by: . |
Material not yet provided? | 🞏 | 🞏 | |
If yes, provide details: | |||
Admissions/concessions? | 🞏 | 🞏 | |
If yes, provide details: | |||
Ground rules hearing to be held? | 🞏 | 🞏 | |
If yes, date to be held: |
WITNESSES REQUIRED | |||
Prosecution: | YES | NO | |
Informant | 🞏 | 🞏 | |
Corroborator | 🞏 | 🞏 | |
Other police officer | 🞏 | 🞏 | |
Civilian | 🞏 | 🞏 | |
Expert | 🞏 | 🞏 | |
Child witness | 🞏 | 🞏 | |
Child witness service booked? | 🞏 | 🞏 |
Cognitively impaired witness | 🞏 | 🞏 | |
Remote booked? | 🞏 | 🞏 |
Witness in custody | 🞏 | 🞏 | |
Witness in other location | 🞏 | 🞏 | |
Protected witness | 🞏 | 🞏 | |
Remote booked? | 🞏 | 🞏 |
Order made for Victoria Legal Aid to cross-examine witness (section 357 Criminal Procedure Act 2009)? | 🞏 | 🞏 |
Accused: | YES | NO | |
Civilian | 🞏 | 🞏 | |
Expert | 🞏 | 🞏 | |
Child | 🞏 | 🞏 | |
YES | NO | |||
Will compellability of family members arise? | 🞏 | 🞏 | ||
Legal advice arranged? | 🞏 | 🞏 | ||
Will self-incrimination arise? | 🞏 | 🞏 | ||
Legal advice arranged? | 🞏 | 🞏 | ||
FORMAT OF EVIDENCE/EXHIBITS
YES | NO |
CCTV | 🞏 | 🞏 |
Body worn camera footage | 🞏 | 🞏 |
Other exhibits in electronic form | 🞏 | 🞏 |
RESOURCES REQUIRED
YES | NO | ||
Audiovisual link | 🞏 | 🞏 | |
Remote witness facility | 🞏 | 🞏 | |
DVD/laptop | 🞏 | 🞏 | |
Interpreter | 🞏 | 🞏 | |
If yes, language required: |
REQUEST MATTER BE LISTED FOR A CONTESTED HEARING
[Name and signature of legal practitioner of accused OR accused] |
[Name and signature of prosecutor] |
Note: If the accused is not legally represented, this form is to be completed by the prosecution relevant to the information in their possession. |
Form 13 amended by S.R. No. 78/2026 rule 23.
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