Document ID: chunk:federal_register_of_legislation:F2023C00203:clause:1_341q
Version: federal_register_of_legislation:F2023C00203
Segment Type: clause
Provision Reference: sch 1 cl 341Q
Character Range: 572719–574207

341Q  Schedule 5 (after Form 1)
Insert:
Form 1A

Certificate of the result of a saliva analysis

This Certificate is given following the administration of a saliva analysis in accordance with the provisions of the Traffic Act 2010 and the Traffic (General) Regulations.
A printout issued or created by the device used for the analysis is the equivalent of this certificate for evidentiary purposes.
I certify that I have administered a saliva analysis in accordance with the Act and the Regulations and that the following particulars are true and correct
(a) The test was taken on the    day of                        20    , at        am/pm.
(b) The test was taken at:..............................................
(c) The name and date of birth of the person tested is:
 Name...............................................
 Date of birth....................................
(d) The sample to which this certificate refers was sample number..................
    (e) The drug or psychotropic substance indicated by the analysis to be present in the person tested was....................
I further certify that the device is a...................and the serial number of the device is...................and that my name is.......................................and that my service number is...................and that I am a person qualified and authorised to operate the device and give this certificate.
.....................................................................
Signature.