National Small Business Act, 1996 (Act 102 of 1996)
R 385
Disaster Management Act, 2002 (Act No. 57 of 2002)RegulationsRegulations issued in terms of Section 27(2) of the Disaster Management Act, 2002 (COVID-19)AnnexuresAnnexure A : FormsForm 1: Order for a Person to go to a site of Isolation, or for a person to go for Medical Examination |
FORM 1
ORDER FOR A PERSON TO GO TO A SITE OF ISOLATION, OR FOR A PERSON TO GO FOR MEDICAL EXAMINATION
Regulation 7(2)
IN THE MAGISTRATES COURT FOR THE DISTRICT OF __________________ HELD
AT ___________ ON THIS _____________ DAY OF____________________20_____.
BEFORE ME _______________________________________ MAGISTRATE FOR THE
AFOREMENTIONED DISTRICT IN CHAMBERS
WHEREAS it appears that _________________________________ (name of person)
Being a person:
|
|
who has been clinically confirmed as having COVID-19 and who has refused to— |
|
|
submit to a medical examination, including but not limited to the taking of any bodily sample by a person authorised in law to do so; |
|
|
be admitted to a site to be used as isolation facility; or |
|
|
submit to mandatory prophylaxis, treatment, or isolation in order to prevent transmission. |
I hereby issue an order for the submission of the said person to a medical examination, including the taking of any bodily sample by a person authorised in law.
Signed at ___________________, on this _____________ day of _________________ 20____ .
|
_____________________________ |
Official stamp of Institution |
|||
|
MAGISTRATE |
||||
NOTE: This order remains in force until—
| (a) | it is executed; |
| (b) | it is cancelled by the person who issued it or, if such person is not available, by any person with like authority; |
| (c) | a period of ninety days has lapsed from the date of its issue; or |
| (d) | the purpose for the issuing of the order has lapsed. |
[Form 1 of Annexure A substituted by section 8 of Notice No. R. 1715, GG45855, dated 1 February 2022]
