Western Australian Consolidated Regulations[r. 6]
[Heading inserted in Gazette 16 Mar 2010
p. 982.]
Form 1
Water Agencies (Powers) Act 1984 s. 103(2)
Infringement notice
No. ............
Surname (Block letters)
.........................................................................................
Other names (in full)
..............................................................................................
Address
..................................................................................................................
Town or suburb and postcode
................................................................................
It is alleged that you committed an offence:
|
Where and when |
At .................................................................. on the
............... |
|
Details of offence |
Using water in contravention of the stage of restrictions applicable under the
Water Agencies (Water Use) By‑laws 2010 , contrary to by-law 4. |
|
Modified penalty |
|
|
Information about this notice |
Date:
........................................................................................
Issued at:
..................................................................................
By:
...........................................................................................
Signature of authorised person: .................................................. |
WHAT YOU MUST DO:
|
1. |
You may dispose of this matter by paying the modified penalty within a period
of 21 days after this notice is given. |
| |
PAY THE MODIFIED PENALTY TO: |
| |
* The Chief Finance Officer or * Manager, Receivables and Business Support [*Delete the inapplicable] |
| |
If you wish to do so but are unable to make payment within 21 days you
may apply to the Department of Water* / Water Corporation* for an extension of
time within which the modified penalty may be paid. [*Delete the inapplicable] |
|
OR |
IF YOU DO NOT PAY THE MODIFIED PENALTY |
|
2. |
A prosecution notice may be issued against you for the alleged offence, in
which case the matter will be dealt with by a COURT. |
|
OR | |
| |
The modified penalty may be recovered by the Fines Enforcement Registry, in
which case — (a)
additional administrative charges may be incurred; and (b)
action may be taken to suspend your Motor Driver’s Licence or Vehicle
Licence until you have paid in full the modified penalty and any additional
charge; and |
| |
(c) you
will be given an opportunity to elect to have a prosecution notice for the
alleged offence dealt with by a COURT. PAYMENTS AFTER THE DUE DATE CAN ONLY BE MADE WITH A FINAL DEMAND LETTER WHICH
INCURS AN ADDITIONAL ENFORCEMENT FEE. |
[Form 1 inserted in Gazette 16 Mar 2010
p. 982-3.]
Form 2
Water Agencies (Powers) Act 1984 s. 103(6)
Notice of withdrawal of infringement notice
No. ............
Surname (Block letters)
.........................................................................................
Other names (in full)
.............................................................................................
Address
..................................................................................................................
Town or suburb and postcode
...............................................................................
Infringement Notice No. ......................... Date ...... / ...... /
......
|
AN INFRINGEMENT NOTICE GIVEN TO YOU HAS BEEN
WITHDRAWN AND NO FURTHER ACTION WILL BE TAKEN*/A SUMMONS WILL BE ISSUED* * Delete where not applicable. | |
|
Information about the withdrawn notice |
Date of issue:
......................................................................... Alleged offence:
.................................................................... Notice number:
...................................................................... |
|
Information about this notice |
Date:
......................................................................................
Issued at:
...............................................................................
By:
.........................................................................................
Signature of prescribed person: .................................................. Title of the office held by the prescribed person: ............................................. |
[Form 2 inserted in Gazette 16 Mar 2010
p. 983-4.]
Form 3
Water Agencies (Powers) Act 1984 s. 103(11)
Certificate that person is an authorised person
No. .............................................
Photograph of authorised person
.................................................................
(Name)
..................................................................
(Signature)
..................................................................
(Title of
the office held by the authorised person)
...................................................................
(Date of
issue)
...................................................................
(Date of
expiry)
This is to certify that the person identified on this certificate is
authorised, in accordance with the Water Agencies (Powers) Act 1984
section 103, to give infringement notices in respect of alleged offences
under the Water Agencies (Water Use) By‑laws 2010
by‑law 4.
Signed:
.......................................................................
Chief executive officer of the Department of Water* or
chief executive officer
of the Water Corporation on behalf of the Water Corporation*.
[* Delete the inapplicable]
[Form 3 inserted in Gazette 16 Mar 2010
p. 984.]
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