District No.

WHEREAS from the information on oath and in writing sworn before me, *(a Judge of the District Court,) *(a Peace Commissioner,) on this day pursuant to section 9 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 a *script *recording referred to in section 3 (8) of the said Act is *[in the premises (within the meaning of section 9 (3) of the said Act) that is to say, in the

...... ]

*(at a place, that is to say, ............. at ............. in the court (area and) district aforesaid,

*(that a requirement specified in subparagraph (I) of section 3 (8) (a) of the said Act was made in relation to that *script *recording and was not complied with,)

*(that a requirement specified in subparagraph (II) of section 3 (8) (a) of the said Act was made in relation to that *script *recording and was not complied with,)

*(that, in alt the circumstances, it is necessary to issue this warrant notwithstanding that a requirement specified in *(subparagraph (I)) *(subparagraph (II)) of section 3 (8) (a) of the said Act was not made in relation to that *script *recording,)

THIS IS TO AUTHORISE ............. of ......... a member of the Garda Síochána, accompanied by any other members of the Garda Síochána, at any time or times within one month from the date of the issue of this warrant, on production if so requested of this warrant, TO ENTER, if need be by force, AND SEARCH the said *(premises, that is to say, the ............) *(place, that is to say, ................) at in the court (area and) district aforesaid, AND TO SEIZE any such *script *recording as aforesaid found there, AND TO REQUIRE any person found there to give that member his or her name and address.

Dated this .... day of ......... 19 ....

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

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

Judge of the District Court

(or) Peace Commissioner

To the Superintendent of the Garda Síochána,

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

*Delete where inapplicable.