Schedule 1 Forms

Schedule 1 Forms

Form 1 Application for order for forfeiture of electrical article or gas appliance

(Clause 74 (1))

(Section 58 (2) of the Gas and Electricity (Consumer Safety) Act 2017)

To: The Local Court sitting at—

On the [date], the *electrical article(s)/gas appliance(s) specified in the Schedule below was (were) seized by an authorised officer under section 49 (d) of the Gas and Electricity (Consumer Safety) Act 2017, at [address where seized] from [owner of *electrical article(s)/gas appliance(s)].

Application is now made under section 58 (1) *(a) *and/or *(b) of the Gas and Electricity (Consumer Safety) Act 2017 for an order for forfeiture of the *electrical article(s)/gas appliance(s) to the Crown.

Signed and dated—

Secretary

Schedule

[Insert description of article(s) or appliance(s)]

* Delete whatever is not applicable