Western Australian Consolidated Regulations

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ELECTRICITY REGULATIONS 1947 - SCHEDULE 2

[r. 344]

        [Heading inserted in Gazette 20 Mar 2007 p. 1042.]

        Form 1 — Infringement notice

Electricity Act 1945
Infringement notice

Infringement
notice no.

Alleged offender

Name:         Family name

        Given names

or Company name ____________________________                
        ACN

Address _________________________________________
        Postcode

Alleged offence

Description of offence _____________________________

Electricity Act 1945 s. 
Electricity Regulations 1947 r. 
Electricity (Licensing) Regulations 1991 r. 
Electricity (Supply Standards and System Safety) Regulations 2001 r. 

Date         /         /20         Time         a.m./p.m.

Modified penalty $

Officer issuing notice

Name

Signature

Office

Date

Date of notice         /         /20

Notice to alleged offender

It is alleged that you have committed the above offence.
If you do not want to be prosecuted in court for the offence, pay the modified penalty within 28 days after the date of this notice.


        By post: Send a cheque or money order (payable to ‘Director of Energy Safety’) to:
                Director of Energy Safety
                [Address]
        In person: Pay the cashier at:
                Energy Safety
                [Address]


If you do not pay the modified penalty within 28 days, you will be prosecuted or enforcement action will be taken under the Fines, Penalties and Infringement Notices Enforcement Act 1994 . Under that Act your driver’s licence and/or vehicle licence may be suspended.
If you need more time to pay the modified penalty, you can apply for an extension of time by writing to the Director of Energy Safety at the above address.


If you want this matter to be dealt with by prosecution in court, tick this box and post this notice to the Director of Energy Safety at the above address within 28 days after the date of this notice.

        [Form 1 inserted in Gazette 20 Mar 2007 p. 1042.]

        Form 2 — Withdrawal of infringement notice

Electricity Act 1945
Withdrawal of infringement notice

Withdrawal no.

Alleged offender

Name:         Family name

        Given names

or         Company name __________________________________
        ACN

Address _____________________________________________________
        Postcode

Infringement notice

Infringement notice no.

Date of issue         /         /20

Alleged offence

Description of offence ____________________________________

Electricity Act 1945 s. 
Electricity Regulations 1947 r. 
Electricity (Licensing) Regulations 1991 r. 
Electricity (Supply Standards and System Safety) Regulations 2001 r. 

Date         /         /20         Time         a.m./p.m.

Officer withdrawing notice

Name

Signature

Office

Date

Date of withdrawal         /         /20

Withdrawal of infringement notice

[*delete
whichever
is not applicable]

The above infringement notice issued against you has been withdrawn.
If you have already paid the modified penalty for the alleged offence you are entitled to a refund.
*         Your refund is enclosed.
or
*         If you have paid the modified penalty but a refund is not enclosed, to claim your refund sign this notice and post it to:
                Director of Energy Safety
        [Address]
Signature         /         /20

        [Form 2 inserted in Gazette 20 Mar 2007 p. 1043.]



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