Document ID: chunk:federal_register_of_legislation:F2018N00133:schedule:3
Version: federal_register_of_legislation:F2018N00133
Segment Type: schedule
Provision Reference: sch 3
Character Range: 56773–60571

Schedule 3
LOCAL GOVERNMENT ACT 1995
FORM 3
PARKING AND PARKING FACILITIES LOCAL LAW 2017
INFRINGEMENT NOTICE

Serial No ......................................
Date .......... / .......... / ..........
To: (1) ........................................................................................................................................................... of:
(2) ........................................................................................................................................................... It is alleged that on .......... / .......... / .......... at (3) .............................................................................................................
at (4) ............................................................................................................................................................. in respect of vehicle:
make: .......................................................;
model: .....................................................;
registration: .............................................,
you committed the following offence: ....................................................................................................................................................................... ....................................................................................................................................................................... .......................................................................................................................................................................
contrary to clause ............... of the Shire of Christmas Island Parking and Parking Facilities Local Law 2017. The modified penalty for the offence is $ ............... If you do not wish to have a complaint of the alleged offence heard and determined by a court, the amount of the modified penalty may be paid to an authorised person at (5) ........................... within a period of 28 days after the giving of this notice.
Unless within 28 days after being served with this notice:
(a) you pay the modified penalty; or
(b) you:
    (i) inform the Chief Executive Officer or another authorised officer of the local government as to the identity and address of the person who was the driver or person in charge of the above vehicle at the time the offence is alleged to have been committed; or
    (ii) satisfy the Chief Executive Officer that the above vehicle had been stolen or was being unlawfully used at the time the offence is alleged to have been committed, 26 you will, in the absence of proof to the contrary, be deemed to have committed the above offence and court proceedings may be instituted against you.
If you take no action this infringement notice may be registered with the Fines Enforcement Registry after which your driver's licence or any vehicle licence held by you may be suspended. If the matter is registered with the Registry additional costs will also be payable.
If the above address is not your current address, or if you change your address, it is important that you advise us immediately. Failure to do so may result in your driver's licence or any vehicle licence you hold being suspended without your knowledge.
(6) .............................................................
(7) .................................................................................................................................................................
Insert:
(1) Name of owner or 'the owner'
(2) Address of owner (not required if owner not named)
(3) Time of alleged offence
(4) Location of alleged offence
(5) Place where modified penalty may be paid
(6) Signature of authorised person
(7) Name and title of authorised person giving notice