Western Australian Consolidated Regulations

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TRANSPORT (COUNTRY TAXI-CAR) REGULATIONS 1982 - SCHEDULE 3

[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.]



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