Disaster Management Act, 2002 (Act No. 57 of 2002)

Regulations

Regulations issued in terms of Section 27(2) of the Disaster Management Act, 2002 (COVID-19)

Annexures

Annexure A : Forms

Form 1: Order for a Person to go to a site of Isolation, or for a person to go for Medical Examination
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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]