Western Australian Consolidated Regulations

CONSERVATION AND LAND MANAGEMENT REGULATIONS 2002 - SCHEDULE 3

[r. 112(3)]

Form 1

Conservation and Land Management Regulations 2002

Infringement Notice

Conservation and Land Management Act 1984

(section 114A(1)) No. . . . . . . . . . . . . . .

Date . . . ./ . . . . / . . . .

1. To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (name)

of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(address)

2. It is alleged that at about . . . . . . . . .a.m./p.m. on the . . . day of. . . . . . . . . . . ., you committed an offence against regulation . . . . . of the Conservation and Land Management Regulations 2002 by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. If you do not wish to have a complaint of the alleged offence heard and determined by a court, you may pay the modified penalty of $ . . . . . . . . for that offence to the Chief Executive Officer within 21 days of the giving of this notice.

4. Payment may be made by either posting this form and a cheque, money or postal note for the modified penalty to the Chief Executive Officer, Department of Environment and Conservation, P.O. Box 104, Como WA 6152, or by delivering this form and paying the modified penalty at an office of the Department of Environment and Conservation.

5. If this modified penalty is not paid within 21 days of the date of this notice, court proceedings may be taken against you.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature of (forest/wildlife/conservation
and land management officer/ranger)*

(* Delete whichever does not apply.)

        [Form 1 amended in Gazette 29 Sep 2006 p. 4333.]

Form 2

[r. 112(4)]

Conservation and Land Management Regulations 2002

Withdrawal of Infringement Notice

Conservation and Land Management Act 1984

(section 114A(6)) No. . . . . . . . . . . . . . .

Date . . . ./ . . . . / . . . .

To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (name)

of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(address)

1. Infringement Notice No. . . . . . . . . . . . . . Date . . . ./ . . . ./ . . . . for the alleged offence of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .and specifying the modified penalty of $. . . . . . . . is withdrawn.

2. No further action will be taken against you. *

OR

It is proposed to commence court proceedings against you for the alleged offence. *

(* Delete whichever does not apply.)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Chief Executive Officer,
Department of Environment and Conservation

        [Form 2 amended in Gazette 29 Sep 2006 p. 4333.]

Form 3 — Apiary permit

        [Form 3 inserted in Gazette 3 Sep 2010 p. 4284.]