Western Australian Consolidated Regulations Western Australian Consolidated Regulations[r. 7A(2) and (3)]
[Heading inserted in Gazette 14 Jul 2006
p. 2573.]
FORM 1
TRANSPORT CO‑ORDINATION ACT 1966
— section 58A
COUNTRY TAXI‑CARS (FARES AND CHARGES)
REGULATIONS 1991 ‑ regulation 7A(2)
Western Australia
Department for Planning and Infrastructure
TAXI INFRINGEMENT NOTICE
PART “B”
This space for cash
register imprint
To be retained by Cashier.
OFFICE COPY ONLY
Please do not detach from Part “A”
PART “A”
OFFICIAL RECEIPT
DEFENDANT’S COPY No. ......................
Issue Date ........../........../........
Sex [ ]
Date of birth [ ]/[ ]/[ ]
M
........................................................................................................................................
Surname (Block Letters)
Other Names in full
MDL Number
Address
...............................................................................................................................
Number
and Street Town or Suburb Postcode
Particulars of Taxi
Plate No. ............................ Annual fee
due ........./........../..........
Make .....................................Model
..................................Colour ....................................
Company ..................................
It is alleged that at .............. hours on ......... day of
.......................... 20 ..........
at
……………………………………………………
that you committed the offence indicated hereunder.
..........................................................................................................................................................................................................................................................................................
Description of offence
Penalty $ [ ] [ ] [ ]
............................................................................
No. .................
Signature of authorised person
Take notice that —
If you do not wish to have a complaint of the alleged offence heard and
determined by a court, you may pay to an officer specified on the reverse side
of this notice, within 28 days, the total amount specified.
If that amount is not paid within 28 days, additional administrative
charges may be incurred and action may be taken to suspend your Motor Drivers
Licence until you have paid in full the modified penalty and any additional
charges OR you have elected to have this matter heard and determined by a
court.
Payment may be made —
(i)
by post to —
[ Insert appropriate
address here ]
(ii)
by hand to —
Clerk of Courts
2 —
Albany, Armadale, Broome, Bunbury, Busselton,
Carnarvon, Collie, Derby, Esperance, Fremantle, Geraldton, Harvey, Kalgoorlie,
Karratha, Katanning, Kununurra, Mandurah, Manjimup, Merredin, Moora, Midland,
Narrogin, Northam, Pinjarra, Port Hedland, Roebourne, Rockingham and
Perth — Magistrates Court 3 , Level 2, Central Law
Courts, 30 St Georges Terrace.
A receipt will not be mailed unless requested.
Payments will not be accepted at any Department for Planning and
Infrastructure offices.
Inquiries should be made in writing and forwarded by post
to —
(Insert appropriate address here)
TAXI INFRINGEMENT NOTICE CREDIT CARD SLIP
Do not detach — Return complete document with payment
to —
[ Insert appropriate address here ]
Please debit my credit card account —
Bankcard [ ] Mastercard [ ] Visacard [ ]
Card Number [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ]
Amount [ ] [ ] [ ] [ ]
Cardholder Name:
...............................................................................................................
Signature:
...........................................................................
Expiry Date: ......../......../........
[Form 1 inserted in Gazette 14 Jul 2006
p. 2573‑4.]
FORM 2
TRANSPORT CO‑ORDINATION ACT 1966
— section 58A
COUNTRY TAXI‑CARS (FARES AND CHARGES) REGULATIONS 1991
‑ regulation 7A(3)
Western Australia
Department for Planning and Infrastructure
NOTICE OF WITHDRAWAL OF INFRINGEMENT NOTICE
Serial No. ...................
Name
Address
Dear Sir/Madam
Notice of withdrawal of proceedings
Infringement Number
Date
Time
Code
Description
Take notice that I, being authorised to do so, hereby withdraw
proceedings under the Transport Co‑ordination Act 1966 in
relation to the infringement notice issued for the above offence.
Director General
Date
[Form 2 inserted in Gazette 14 Jul 2006
p. 2574‑5.]
