IN THE HIGH COURT OF JUSTICIARY
[or IN THE SHERIFF [or DISTRICT] COURT]
AT (place)
CITATION
To: (name and address of offender)
Date of citation: (date of citation or, if citation by post, the day after the date of posting)
YOU ARE HEREBY CITED to appear on (date) at (time) in the High Court of Justiciary [or Sheriff [or District] Court] at (address) because it has been reported to the court that you have failed to comply with a requirement of your restriction of liberty order by (specify the failure alleged).
IF YOU FAIL TO ATTEND COURT WITHOUT A LAWFUL EXCUSE THE COURT MAY ISSUE A WARRANT FOR YOUR ARREST.
(Signed)
Advocate Depute [or Procurator Fiscal]
On behalf of Her Majesty’s Advocate.