Sch 6Forms

Schedule 6 — Forms

[r. 59]

[Heading inserted: Gazette 29 Jul 2016 p. 3254.]

Form 1 — Infringement notice

• Security and Related Activities (Control) Act 1996Security and Related Activities (Control) Regulations 1997Infringement notice
• Alleged offender Name: Surname
• Given names
• Address _______________________________________ Postcode
• Details of alleged offence Description of offence ____________________________
• Security and Related Activities (Control) Act 1996 s. [ ]. Security and Related Activities (Control) Regulations 1997 r. [ ]
• Date / /20 Time
• Place
• Officer issuing notice Name
• Signature
• Office
• Date of notice / /20
• Modified penalty $ [ ]
• Penalty $ [ ]
• You do not have to pay this amount. This is the maximum fine that can be imposed if you are prosecuted in a court and convicted of an offence.
• Notice to alleged offender It is alleged that you have committed the above offence.
• If you do not want to be prosecuted in court for the alleged offence, pay the modified penalty within 28 days after the date of this notice. See below for how and where to pay the modified penalty.
• Paying the modified penalty will not be regarded as an admission for the purposes of any civil or criminal court case.
• If you do not pay the modified penalty within 28 days, you may be prosecuted in court for the alleged offence or enforcement action may be taken under the Fines, Penalties and Infringement Notices Enforcement Act 1994. Under that Act, some or all of the following action may be taken — your driver’s licence may be suspended, your vehicle licence may be suspended or cancelled, you may be disqualified from holding or obtaining a driver’s licence or vehicle licence, your vehicle may be immobilised or have its number plates removed, your details may be published on a website, your earnings or bank accounts may be garnished, and your property may be seized and sold.
• If you need more time to pay the modified penalty, you should contact the designated person at the address below.
• , sign and date here: __________________________________ / /20 and post this notice to the designated person at the address below within 28 days after the date of this notice.