Western Australian Consolidated Regulations

FREMANTLE HOSPITAL BY-LAWS 1992 - SCHEDULE 3

[By‑laws 20(3) and 21]

FORM 1

[By‑law 20(3)]

Infringement Notice Fremantle Hospital By‑laws 1992
Notice No.	Issue date		Issue time
Location
Vehicle
Plate no. & type	Make		Model/Style
Alleged Offence
Date		Time
By‑law		Modified penalty
Issuing Officer
Name		Signature/Officer No.
You have 28 days from when this Notice is given to you to pay the modified penalty or elect to go to court. If you don’t, enforcement proceedings will be taken against you.
Paying the modified penalty By post:         Send a cheque or money order payable to “Metropolitan Access and Parking” to —         Metropolitan Access and Parking PO Box 1135 Osborne Park WA 6916 In person:         Pay at the Metropolitan Access and Parking Department at —         100 Flinders Street Mt. Hawthorn WA         OR         Pay at any Australia Post Office or agency. By telephone:         Call 1800 753 191
Electing to go to court If you wish to elect to go to court, sign here: .................................................................................. Date: ............. then send this notice to —         The Chief Executive Officer Metropolitan Access and Parking Department 100 Flinders Street Mt. Hawthorn WA 6016 Make sure you keep a copy. If you go to court and are convicted you may be fined $50 and ordered to pay costs.
If enforcement proceedings are taken against you, your driver’s licence and/or vehicle licence may be suspended until you pay the modified penalty and expenses or you elect to go to court.

        [Form 1 inserted in Gazette 23 Dec 2011 p. 5428‑9.]

FORM 2

[By‑law 21]

HOSPITALS AND HEALTH SERVICES ACT 1927

FREMANTLE HOSPITAL BY‑LAWS 1992

WITHDRAWAL OF INFRINGEMENT NOTICE

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

To: ..........................................................................................................................

of ............................................................................................................................

Infringement notice no. ................. served on you on the ......... day of ..............., ................. for the alleged offence of ..................................................................... ................................................................................................................................ is hereby withdrawn and no further action will be taken against you in respect of the alleged offence.

If you have paid the modified penalty before receiving this notice, the amount of the payment will be refunded to you on presentation of the receipt issued by the cashier of the Fremantle Hospital for the payment.

.....................................................................
Authorised person under by‑law 21

        [Schedule 3 amended in Gazette 29 Aug 1995 p. 3901; 10 Jul 1998 p. 3634; 23 Dec 2011 p. 5428‑9.]