| (Section 12) |
| FORM |
| In the matter of |
| THE SEPARATION AND MAINTENANCE ACT |
| Warrant of apprehension for disobedience of order |
| To all Constables. |
| Whereas it has been made to appear to me ............................................... Magistrate for the ......................... District, on the oath of ........................... that of .................................... has made default in payment of the sum (or sums) of $................... which the said ................................. was ordered to pay to the said .......................... his wife (or to .................. having the care of a child (or children) under the age of 18 years of the said .........................) which sum (or sums) is (or are) the weekly (or monthly) payment (or payments) which became payable on the .................................. day of ........................., 20.........., by virtue of an order made under the authority of the said Act on the ...................... day of ...........................20.........., which sum was (or were) not paid and is (or are) still unpaid: |
| This is to command you to apprehend the said and to bring him before the magistrate unless the said sum (or sums) and the costs and charges of executing this warrant amounting to the further sum of ..................... shall be sooner paid; |
| And for your so doing this shall be your sufficient warrant. |
| Dated the ............................. day of ..........................., 20............ |
| Magistrate. |