Western Australian Consolidated Regulations

PUBLIC TRANSPORT AUTHORITY REGULATIONS 2003 - SCHEDULE 2

[r. 45, 46]

Form 1

Public Transport Authority Act 2003

Public Transport Authority Regulations 2003

Infringement notice

Serial No.
1.	To: ...........................................................................................................         Ms/Mr         Family name         Given names
	of: ............................................................................................................         Number                 Street         ............................................................................................................         Suburb                                 Postcode
It is alleged that on ....................... the ........ day of ......................... 2 ......... at about ............ a.m./p.m. you committed the offence indicated below —
2.		Regulation	Offence	Modified penalty $
π		.......	...............................................................	.....
π		.......	...............................................................	.....

3.         If you do not wish to have a complaint of the alleged offence heard and determined by a court, the amount of money specified in this notice as being the modified penalty for the offence may be paid to the authorised person referred to in paragraph 5 below within a period of 28 days after receiving this notice.

4.         If the modified penalty is not paid within the time specified in this notice a complaint for the alleged offence may be heard and determined by a court.

5.         Payment of the modified penalty may be made to the Manager Security and Customer Service by either —

            (a)         posting this notice together with a cheque, money order, or postal note for the amount of the modified penalty specified in item 2 of this notice to the Manager Security and Customer Service P.O. Box 383 Northbridge 6865; or

            (b)         presenting this notice and paying the amount to any Authority booking office at such times as those offices are open for regular business.

Form 2

Public Transport Authority Act 2003

Public Transport Authority Regulations 2003

Withdrawal of infringement notice

Date of this notice:	........ /........ /.............
To: ...................................................................................................................         Ms/Mr         Family name         Given names
of: ....................................................................................................................         No.         Street         ....................................................................................................................         Suburb                                 Postcode
Infringement Notice No. ...................dated .........../........../.............issued for the alleged offence of ...................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... has been withdrawn.
The modified penalty of $ ............................
•         was paid and a refund is enclosed.
•         was not paid and should not be paid.
(delete as appropriate)
Name and title of authorised person giving this notice: ................................................................................
Signature: ..........................................................