New South Wales Consolidated Regulations

ELECTRICITY (CONSUMER SAFETY) REGULATION 2006 - SCHEDULE 1

SCHEDULE 1 – Forms

(Clause 3 (2))

Form 1 - Application for order for forfeiture of electrical article

(Clause 30 (1))

Application for order for forfeiture of electrical article

(Section 29 (1) of the Electricity (Consumer Safety) Act 2004 )

To: The Local Court at

WHEREAS on theday of, the electrical article(s) specified in the Schedule below was (were) seized by an authorised officer under section 26 (1) (d) of the Electricity (Consumer Safety) Act 2004 , at

[address where seized]

from

[owner of electrical article(s)]

Application is now made under section 29 (1) *(a) *and/or *(b) of the Electricity (Consumer Safety) Act 2004 for an order for forfeiture of the electrical article(s) to the Crown.

Signed and dated thisday of

Director-General

Application for order for forfeiture of electrical article

Schedule

[Insert description of article(s)]

* Delete whatever is not applicable