On the....... day of....... 20..., in the District Court at..., the above-named judgment creditor obtained a judgment (or order) in this proceeding against the above-named judgment debtor for the payment of the sum of $..., including costs.

The total outstanding under the judgment or order is now $... (including costs and disbursements).

The Court is satisfied that—

• (a) You are able to pay the judgment debt but refuse to do so; and

• (b) All other methods of enforcing the judgment have been considered or tried and are inappropriate or unsuccessful.

NOW, THEREFORE, YOU ARE ORDERED TO UNDERGO COMMUNITY WORK FOR A TERM OF....... HOURS FOR CONTEMPT OF COURT.

The Court orders as follows:

• 1 You must report to a probation officer in the probation area in which you reside as soon as practicable, and not later than 72 hours, after this order is made.

• 2 You must report to the probation officer as directed at any time during the sentence for the purpose of monitoring the sentence.

• 3 You must do the work under the sentence at the place(s) and the time(s) notified to you by the probation officer.

• 4 The maximum duration that you will be required to do community work at one time is 10 hours, and you will not be required to do community work for more than 40 hours per week.

Date:

To the Judgment Debtor.

NOTES—

• 1 If you pay the full amount of the debt before starting your term of community work, you do not need to start the term.

• 2 If you pay the full amount of the debt during the term of community work, you do not need to continue the term.

• 3 You must make payment to the judgment creditor at the address shown or to any office of the District Court. District Court offices are open to the public from 8.30 am to 5 pm Monday to Friday inclusive. If you pay the judgment creditor, you must notify the Court.