Western Australian Consolidated Regulations

WOMEN'S AND CHILDREN'S HOSPITALS BY-LAWS 2005 - SCHEDULE 3

[bl. 18 and 19]

Form 1 — Infringement Notice (by‑law 18)

Infringement Notice Women’s and Children’s Hospitals By‑laws 2005
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. 5432‑3.]

Form 2 — Withdrawal of Infringement Notice (by‑law 19)

Women’s and Children’s Hospitals By‑laws 2005 Withdrawal of Infringement Notice			Notice No:
To [Person to whom Infringement Notice was issued]		Family name
		Other names
		Address
Infringement Notice		Infringement Notice No.
		Issued at —         ❑         King Edward Memorial Hospital for Women         ❑         Princess Margaret Hospital for Children         ❑         State Child Development Centre         ❑         Stubbs Terrace Hospital
		Date of issue ………/……../20…….
		Alleged offence
		Vehicle plate no.
The Infringement Notice has been withdrawn. If you paid the modified penalty before the Infringement Notice was withdrawn, take your receipt and this notice to the cashier at King Edward Memorial Hospital for Women or Princess Margaret Hospital for Children and your payment will be refunded.
Notice withdrawn by	Name
	Signature
	Date ………/……../20…….

        [Form 2 amended in Gazette 23 Dec 2011 p. 5433.]