Document ID: chunk:federal_register_of_legislation:F2018N00133:schedule:3:p2
Version: federal_register_of_legislation:F2018N00133
Segment Type: schedule
Provision Reference: sch 3 (pt 2/2)
Character Range: 55399–56758

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.
   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 alleged offender or 'the owner'
   (2) Address of alleged offender
   (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.