District No.

WHEREAS from the information on oath and in writing sworn before me on this day pursuant to section 7 of the above-mentioned Act by ........... of ........... a member of the Garda Síochána not below the rank of sergeant, I AM SATISFIED THAT there are reasonable grounds for suspecting that evidence relating to an offence under section* of the said Act is at a place (within the meaning of section 7(6) of the said Act) at ................ in the court (area and district) aforesaid,

THIS IS TO AUTHORISE ............ of .......... a member of the Garda Síochána, accompanied by any other members of the Garda Síochána, and such other persons as may be necessary, at any time or times within 7 days from the date of issue of this warrant, on production if so requested of this warrant, to enter, if need be by reasonable force, and search the said place, that is to say ........... in the court area and district aforesaid, and any persons found there, and to seize anything found there or anything found in the possession of a person present there at the time of the search, which that member reasonably believes to be evidence of or relating to an offence under the above-mentioned Act, and to require any person found there to give that member his or her name and address.

Dated and issued this .... day of ...... 20.....

at ..................

Signed ................

Judge of the District Court

To the Superintendent of the Garda Síochána

at ................

*Insert relevant section