Charge-sheet and summons(corporate accused)
Form 4 Charge-sheet and summons(corporate accused)
Rule 13(d)
Charge-Sheet and Summons (Corporate Accused)
Details of corporate accused
Name of corporate accused:
Mobile phone number:
Email address:
Registration number of vehicle: State registered:
Driver licence number: State issued:
To the corporate accused:
You have been charged with an offence.
Read these pages to see what you must do.
Details of the charge against you
What is the charge?
[Description of offence]
If you do not appear in answer to a summons and the charge is an indictable offence that may be determined summarily the Magistrates' Court may hear and determine the charge in your absence.
If you do not appear in answer to a summons for an indictable offence the Magistrates' Court may conduct a committal proceeding in your absence.
| Section or Clause |
Under what law? | 🞏 State | 🞏 Act | Regulation No. | (Full Ref.) |
🞏 Common-wealth | 🞏 Regulation |
🞏 Other—specify |
Is this an infringement offence? | 🞏 Yes—see below | 🞏 No |
🞏 Enforcement review | 🞏 Enforcement review—special circumstances |
🞏 Infringements Act 2006 section 40 | 🞏 Other—specify |
Are there more charges? | 🞏 No | 🞏 Yes—see "Continuation of Charges" attached | ||
Type of offence | 🞏 Summary offence | 🞏 Indictable offence | ||
Request for committal proceeding | 🞏 No | 🞏 Yes | ||
Who filed the charge-sheet(s)?
Name of informant:
Agency and address:
Telephone:
Email:
Agency Ref.:
Signature of informant:
Date:
Filed at:
Date:
Where will the case be heard?
The Magistrates' Court at [venue]
Address Telephone
When Time Day Month Year
Details about this summons
Issued at:
Date:
Registrar:
Magistrate:
Police officer:
Prescribed person:
Form 5 amended by S.R. No. 133/2025 rule 12.
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