Western Australian Consolidated Regulations[r. 48(2) and (3)]
[Heading inserted in Gazette 14 Jul 2006
p. 2580.]
FORM 1
TRANSPORT CO‑ORDINATION ACT 1966
— section 58A
TRANSPORT (COUNTRY TAXI‑CAR) REGULATIONS 1982
— regulation 48(2)
Western Australia
Department for Planning and Infrastructure 2
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
Driver’s 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
3 —
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 4 , Level 2, Central Law
Courts, 30 St George’s Terrace.
A receipt will not be mailed unless requested.
Payments will not be accepted at any Department for Planning and
Infrastructure 2 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. 2580‑1.]
FORM 2
TRANSPORT CO‑ORDINATION ACT 1966
— section 58A
TRANSPORT (COUNTRY TAXI‑CAR) REGULATIONS 1982
— regulation 48(3)
Western Australia
Department for Planning and Infrastructure 2
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. 2581.]