Victorian Consolidated Regulations
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Infringements (Reporting and Prescribed Details and Forms) Regulations 2006 - SCHEDULE
FORMS FORM 1 Regulation 12(a) INFRINGEMENT WARRANT (Against a Natural Person)
Infringements Act 2006
Name: [Insert name]
Address: Infringements Court Case Number: Vehicle Registration Number: State:
Licence Number: State:
M F
Date of Birth:
Enforcement Agency: [insert enforcement agency name] On [insert date] an
enforcement order was made against [insert name] under section 59 of the
Infringements Act 2006 at the Infringements Court within the meaning of the
Magistrates' Court Act 1989 in respect of the outstanding amount of the
infringement penalty and prescribed costs in respect of a lodgeable
infringement offence. This infringement warrant is issued under section 80 of
the Infringements Act 2006 because for a period of more than 28 days you have
defaulted in the payment of that fine or in the payment under a payment order.
AMOUNT DUE AND PAYABLE
Outstanding Amount of Fine:
Warrant Issue Fee:
AMOUNT DUE UNDER INFRINGEMENT WARRANT: Offence Date: Approximate Time of
Offence: Infringement Offence: Approximate Place of Offence:
AUTHORITY AND DIRECTIONS To-
* the Sheriff
* [insert name and rank], a named police member
* all police members
* the Commissioner within the meaning of the Corrections Act 1986
* [insert name], a person authorised by law to execute an infringement warrant
[specify person and authority]. You are to demand payment of the amount unpaid
from the person named in this infringement warrant. If this amount is paid,
you must send it immediately to an Infringements Registrar. IF THE AMOUNT IS
NOT PAID You are authorised to break, enter and search any residential or
business property occupied by the person named in the infringement warrant for
any personal property of that person. You are further authorised-
(i) to seize the personal property of the person named in the infringement
warrant; and
(ii) if the amounts named in the infringement warrant together with all
lawful costs of execution are not paid, to sell the personal property
seized. If you cannot find sufficient personal property of the person
named in the infringement warrant on which to levy the amounts named
in the infringement warrant together with all lawful costs of
execution you are authorised to break, enter and search for the person
named in the infringement warrant in any place where the person named
is suspected to be, to arrest the person and subject to any
endorsement-
(i) release the person named in the infringement warrant on a community
work permit in accordance with Division 1 of Part 12 of the
Infringements Act 2006; or
(ii) release the person on bail in accordance with the endorsement below to
be dealt with in accordance with Division 2 of Part 12 of the
Infringements Act 2006; or
(iii) if the person refuses to enter into an undertaking of bail or cannot
be dealt with under Division 1 of Part 12 of the
Infringements Act 2006, take and safely convey the person named in
this infringement warrant to a prison or police gaol and deliver the
person to the officer in charge of the prison or police gaol for the
purposes of being dealt with under Division 2 of Part 12 of the
Infringements Act 2006. If the amount is partly paid you must reduce
the amounts named in this infringement warrant by the amount paid,
amend the execution copy of the infringement warrant, receive payment
and forward it without delay to an Infringements Registrar.
Issued at: on:
Issued by (name):
INFRINGEMENTS REGISTRAR ENDORSEMENT AS TO BAIL UNDER SECTION 80(2) OF THE
INFRINGEMENTS ACT 2006 Bail is granted on the following conditions:
The person named may be released upon entering an undertaking of bail to
appear at the venue of the Magistrates' Court nearest to where the person
resides on the following conditions:
INFRINGEMENTS REGISTRAR
Date
* Delete if inapplicable. __________________ FORM 2 Regulation 12(b)
INFRINGEMENT WARRANT (Against a Body Corporate) Infringements Act 2006
Name: [insert name]
Address:
Infringements Court Case Number: Vehicle Registration Number: State: ACN:
Enforcement Agency: [insert enforcement agency name] On [insert date] an
enforcement order was made against [insert name] under section 59 of the
Infringements Act 2006 at the Infringements Court within the meaning of the
Magistrates' Court Act 1989 in respect of the outstanding amount of the
infringement penalty and prescribed costs in respect of a lodgeable
infringement offence. This infringement warrant is issued under section 80 of
the Infringements Act 2006 because for a period of more than 28 days you have
defaulted in the payment of that fine.
AMOUNT DUE AND PAYABLE
Outstanding Amount of Fine:
Warrant Issue Fee:
AMOUNT DUE UNDER INFRINGEMENT WARRANT: Offence Date: Approximate Time of
Offence: Infringement Offence: Approximate Place of Offence:
AUTHORITY AND DIRECTIONS To the Sheriff of Victoria, You are to demand payment
of the amount unpaid from the person named in this infringement warrant. If
this amount is paid, you must send it immediately to an Infringements
Registrar. If the amount is not paid: You are authorised to break, enter and
search any residential or business property occupied by the person named in
the infringement warrant for any personal property of that person. You are
further authorised-
(i) to seize the personal property of the person named in the infringement
warrant; and
(ii) if the amounts named in the infringement warrant together with all
lawful costs of execution are not paid, to sell the personal property
seized. If the amount is partly paid you must reduce the amounts named
in this infringement warrant by the amount paid, amend the execution
copy of the infringement warrant, receive payment and forward it
without delay to the Infringements Registrar.
Issued at: on:
Issued by (name): INRINGEMENTS REGISTRAR
---------------
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