Sch 3Certificate under section 83

Schedule 3—Certificate under section 83

Regulations 51, 64

The *road safety camera/*speed detector/*portable weighing device/ (No. ) was tested in accordance with the Road Safety (General) Regulations 2019
on [date].

The test confirmed that the *road safety camera/*speed detector/*portable weighing device was operating correctly in accordance with the requirements of those Regulations.

The *road safety camera/*speed detector/*portable weighing device has been properly sealed in accordance with those Regulations.

Signature of person issuing certificate:

Name: [print name]

*Strike out whichever is not applicable.