Western Australian Consolidated Regulations

PLANNING AND DEVELOPMENT REGULATIONS 2009 - SCHEDULE 1

1 .         Infringement notice (r. 43(1))

Planning and Development Act 2005 s. 229 Planning and Development Regulations 2009				Infringement notice Number:
Alleged offender	Family name
	Given names
	Address
	Date of birth				Male/Female
	Driver’s licence	No.:                 State/Country: Type:         Class(es):         Expiry date:
Description of alleged offence	Date				Time
	Place
	Details 1
	Law contravened	Planning and Development Act 2005 s.
	Relevant planning document 2 [Tick one box and insert other details]	‪         Planning scheme ‪         Planning control area declaration ‪         Interim development order Name of scheme/details of declaration or order, and number of any provision contravened —
Modified penalty	The modified penalty for the alleged offence is $
Vehicle details 3	Plate No.		State
	Licence expiry date		Vin/Chassis No.
	Make		Colour
	Body type
Date of notice
Service details [Tick one box]	This notice was served — ‪ in person ‪ by post				Date
Officer issuing notice	Name
	Office
	Responsible authority
	Signature
Notice to alleged offender	It is alleged that you have committed the above offence. If you want the alleged offence dealt with in court, tick the box below, post this notice to the address below, and do not pay the modified penalty above. If you do not wish to be prosecuted for the alleged offence in court, pay the modified penalty above within 28 days after the date on which you receive this notice. To pay, tick the relevant box below and post this notice and any cheque or credit card details for the modified penalty to the address below. If you want an extension of time to pay the modified penalty, contact the officer named below at the address below. Paying the modified penalty will not be taken to be an admission for the purposes of any civil or criminal court case. If you do not pay the modified penalty, you may be prosecuted in court for the alleged offence and, if convicted, you will be liable to a penalty and costs.
Alleged offender’s response [Tick one box]	To — 4 ‪         I want this alleged offence dealt with by a court. ‪         I want to pay the modified penalty. A cheque for the modified penalty enclosed. ‪         I want to pay the modified penalty by using a credit card. The credit card’s details are —

Notes to Form 1 —
1.         The details should say what the alleged offender has done that is a contravention of the law.
2.         Complete this if an offence against s. 218, 220 or 221 of the Act is alleged.
3.         Include vehicle details if alleged offence relates to a vehicle or to a person driving a vehicle.
4.         Insert the name and address of the responsible authority and the officer responsible for dealing with infringement notices.

2 .         Withdrawal of infringement notice (r. 43(2))

Planning and Development Act 2005 s. 231 Planning and Development Regulations 2009			Withdrawal of infringement notice
Alleged offender	Family name
	Given names
	Address
Infringement notice	Number
	Date issued
Description of alleged offence	Date			Time
	Place
	Details
	Law contravened	Planning and Development Act 2005 s.
Date of this notice
Officer issuing this notice	Name
	Office
	Responsible authority
	Signature
Notice to alleged offender	The above infringement notice, which was issued for the above alleged offence, has been withdrawn. If you have already paid the modified penalty in accordance with the infringement notice, you are entitled to a refund of the money. To obtain a refund post this notice to — 1

Notes to Form 2 —
1.         Insert the name and address of the responsible authority and the officer responsible for dealing with application for refunds.