SCHEDULE 8 PERMIT/SCHEDULE 9 PERMIT
This permit is granted to [ full name and address of registered medical practitioner/nurse practitioner ] and authorises that registered medical practitioner/nurse practitioner to administer, prescribe or supply the following poison(s) in accordance with the following details and conditions. The poison(s) must not be administered, prescribed or supplied in excess of the quantities specified, or for a period greater than that specified in this permit. Name of patient Address of patient |
NAME OF POISON MAXIMUM DOSE |
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Special conditions (if any): |
This permit is valid from [ date ] to [ date ] (if applicable) unless sooner revoked or suspended. |
Date Secretary |
FORM 5
Drugs, Poisons and Controlled Substances Regulations 2017
NOTICE OF SEIZURE
To |
of | | |||
I, an authorized officer under the Drugs, Poisons and Controlled Substances Act 1981 give notice that I have at a.m./p.m. on [date] seized on the following grounds: at [ address ] the poisons or controlled substances, other substances or documents described below: of which you are Unless you, or a person claiming the poisons or controlled substances, other substances or documents complain to a registrar of the Magistrates' Court within 96 hours of seizure by giving notice of complaint in Form 6 to the Drugs, Poisons and Controlled Substances Regulations 2017, and a copy of that notice to the authorized officer who made the seizure, the poisons or controlled substances, other substances or documents will be destroyed or disposed of in accordance with section 43(4) of the Drugs, Poisons and Controlled Substances Act 1981 . | |||||
Dated [ insert date ] | | | | ||
at [ place ] | | | | ||
at [ time ] | | | | ||
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Authorized Officer | |||
The authorized officer's address for service of any notice of complaint verified by an accompanying statutory declaration is [ address ]. |
FORM 6
Drugs, Poisons and Controlled Substances Regulations 2017
NOTICE OF COMPLAINT IN RESPECT OF A SEIZURE
To the registrar of the Magistrates' Court at [ venue ] | ||||||||||
I, |
of | | ||||||||
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[ Full name ] | |
[ Address ] | |||||||
claiming the poisons or controlled substances, other substances or documents described below— which were seized by | ||||||||||
on |
[ date ] |
at |
[ time ], in accordance | |||||||
with section 43(2) of the Drugs, Poisons and Controlled Substances Act 1981 , complain about that seizure. | ||||||||||
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[ Signature of complainant ] | |||||||||
Note: | | |||||||||
Section 43(2) of the Drugs, Poisons and Controlled Substances Act 1981 requires that in lodging a notice of complaint to the registrar of the Magistrates' Court— | ||||||||||
(a) |
the notice must be verified by an accompanying statutory declaration; and | |||||||||
(b) |
a copy of the notice and statutory declaration must be given to the authorized officer who made the seizure. |
Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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1 A licence to manufacture and sell or supply by wholesale any Schedule 8 poison or Schedule 9 poison other than heroin. |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
2 A licence to manufacture and sell or supply by wholesale any Schedule 2 poison, Schedule 3 poison, Schedule 4 poison or Schedule 7 poison or any combination of those poisons. |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
3 A licence to manufacture and sell or supply by retail a Schedule 7 poison (other than a listed regulated poison). |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
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Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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4 Subject to item 5, a licence to sell or supply by wholesale any Schedule 8 poison or Schedule 9 poison other than heroin. |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
5 A licence to sell or supply by wholesale by Indent any Schedule 8 poison or Schedule 9 poison other than heroin. |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
6 Subject to item 7, a licence to sell or supply by wholesale any Schedule 4 poison (alone or together with any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons). |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
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Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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7 A licence to sell or supply by wholesale by Indent any Schedule 4 poison (alone or together with any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons). |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
8 Subject to item 9, a licence to sell or supply by wholesale any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons. |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
9 A licence to sell or supply by wholesale by Indent any Schedule 2 poison, Schedule 3 poison or Schedule 7 poison or any combination of those poisons. |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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10 A licence to sell or supply by retail any Schedule 2 poison. |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
11 A permit to purchase or obtain and use for industrial, educational, advisory or research purposes any Schedule 8 poison or Schedule 9 poison (alone or together with any Schedule 2 poison, Schedule 3 poison, Schedule 4 poison or Schedule 7 poison or any combination of those poisons). |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
12 A permit to purchase or obtain and use for industrial, educational, advisory or research purposes any Schedule 2 |
83·6 fee units |
83·6 fee units |
18·4 fee units | ||||||||||
Column 1
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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poison, Schedule 3 poison, Schedule 4 poison or Schedule 7 poison or any combination of those poisons. | | | | ||||||||||
13 A permit to purchase or obtain and use any poison or controlled substance for the provision of health services by the following types of health service provider— | | | | ||||||||||
Type A (single site with no beds); |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
Type B (residential aged care with single storage facility (no bed limit) or single site with 1 to 30 beds); |
72·8 fee units |
72·8 fee units |
16·6 fee units | ||||||||||
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Column 2
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Column 3 Fee for amendment of licence or permit if amendment requires inspection of premises by an authorized officer |
Column 4
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Type C (multiple sites with no beds or single site with 31 to 100 beds); |
94·5 fee units |
94·5 fee units |
20·3 fee units | ||||||||||
Type D (multiple sites or single site with more than 100 beds). |
94·5 fee units |
94·5 fee units |
20·3 fee units |
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