COURT SECURITY INFORMATION REPORT Please provide as much of the information requested below as you can and email the completed form to courtsecuritymanager@justice.qld.gov.au
Understanding the nature of threats to the process of justice depends upon information. Identifying those who may have an intention to do harm or disrupt court proceedings and assessing their capability to do so provides the information necessary to measure the risks posed by those circumstances. The information you provide is collated and used to support just such an analysis. No matter how insignificant or small you believe the risk to be, your report may be a critical piece of information that ties together other reports. Please trust your instincts and report it.
Date	Click here to enter a date.
Courthouse Location	Click here to enter text.
Court	Choose an item.
Court Security Concern/Risk/Threat Information Details
Please indicate what the security concern, risk or threat relates to	Threat to person Threat to property Risk of disruption to proceedings Other
Please describe the security concern, risk and/or threat to the court	Click here to enter text.
If concern relates to a person/people, please provide as much of the following information as you can:
Name of person/s:	Click here to enter text.
DOB:	Click here to enter text.
Address:	Click here to enter text.
Court file name/number:	Click here to enter text.
Presiding judicial officer:	Click here to enter text.
Details of actions you have taken in response to concern, risk or threat?	Click here to enter text.
Is it your intention to report the matter to anywhere other than Court Security?	Choose an item.
If yes, please provide details of your report e.g. which agency, when etc.	Click here to enter text.
As a result of this concern, is approval being sought for additional security measures as per the following Practice Direction/s? Supreme Court – PD 2014/09 District Court – PD 2014/09 Magistrates Court - 2014/03	Choose an item.
If yes, please describe the additional measures being sought?	Click here to enter text.
If there is anyone else who should be advised about the risk or threat please include details of this here.	Click here to enter text.
If other assistance/action is required, please include details of this here.	Click here to enter text.
Your details
Name	Click here to enter text.
Title	Click here to enter text.
Organisation/Workplace	Click here to enter text.
Phone number	Click here to enter text.
Email	Click here to enter text.
Your relationship to the person/subject of the court security concern	Click here to enter text.