Sch 3Forms for barring orders

Schedule 3—Forms for barring orders

(Section 106D or 106I)

Regulation 37

Barring Order

This barring order is *issued/*varied by the *licensee/*permittee/
*responsible person/*police officer under section *106D/*106I of the Liquor Control Reform Act 1998.

Type of order—*barring order/*notice of variation of a barring order

Name of barred person:

Address of barred person (if known):

Date of birth of barred person (if known):

Trading name of licensed premises:

Liquor licence number:

Name of *licensee/*permittee/*responsible person/*police officer:

*Victoria Police registered number (if applicable):

Barring order reference number:

Commencement date and time:

Expiry date and time:

*This order has been issued because the person being barred is drunk, violent or quarrelsome in the licensed premises/the person issuing the order reasonably believes the safety of the person being barred, or any other person in the licensed premises, is at substantial or immediate risk as a result of that person's consumption of alcohol. (This paragraph is only applicable to a barring order issued under section 106D of the Liquor Control Reform Act 1998. It is not applicable to a notice of variation issued under section 106I of that Act. Delete paragraph if inapplicable). The following is a brief description of *the particulars of the circumstances giving rise to the issue of the order/*the nature of the variation—

[specify reasons for issuing barring order or nature of the variation]

Offences

If you have been served with this barring order, it is an offence for you to—

● enter or remain on the licensed premises without a reasonable excuse; or

● re‑enter or remain in the vicinity of the licensed premises without a reasonable excuse for the duration of the order.

The vicinity of a licensed premises means a public place that is within 20 metres of the licensed premises.

These offences carry a maximum fine of 20 penalty units.

Order issued by [insert name and signature of licensee, permittee, responsible person or police officer]

This order was issued on [insert date].

Regulation 38

(Section 106I(2))

Notice of Variation of Barring Order