Education and Care Services National Law Application (Local Regulations) Regulations 2026

Education and Care Services National Law (WA)

INFRINGEMENT NOTICE

Infringement
notice no.

Alleged offender

Name

Address

Details of alleged offence

Date or period

Place

Written law contravened

Section of the Education and Care Services National Law (WA)

or

Regulation of the Education and Care Services National Law Regulations (WA)]

Details of offence

Date

Date of notice

Issuing officer

Name

Office

Signature

Modified penalty

$_____________

Penalty

Individual

$_____

You do not have to pay this amount. This is the maximum fine that can be imposed if you are prosecuted in a court and convicted of this offence.

Body corporate

$_____

TAKE NOTICE

It is alleged that you have committed the above offence.

If you do not want to be prosecuted in court for the offence, pay the modified penalty to the Approved Officer* within 28 days after the date of this notice.

If you do not pay the modified penalty within 28 days, you may be prosecuted or enforcement action may be taken under the Fines, Penalties and Infringement Notices Enforcement Act 1994. Under that Act, some or all of the following action may be taken — your driver’s licence may be suspended, your vehicle licence may be suspended or cancelled, you may be disqualified from holding or obtaining a driver’s licence or vehicle licence, your vehicle may be immobilised or have its number plates removed, your details may be published on a website, your earnings or bank accounts may be garnished, and your property may be seized and sold.

If you need more time to pay the modified penalty, you should contact the Approved Officer* at the address below.

Paying the modified penalty will not be regarded as an admission for the purposes of any civil or criminal court case.

If you want this matter to be dealt with by prosecution in court, sign and date here:

__________________________________ / /20

and send this notice to the Approved Officer* at the address below within 28 days after the date of this notice.

If you consider that you have good reason to have this notice withdrawn, you can write to the Approved Officer* at the address below requesting that this notice be withdrawn and setting out the reasons why you consider that this notice should be withdrawn. Your letter must be received not later than 28 days after the date of this notice.

How to pay

By post

Tick the relevant box below and post this notice to:

Approved Officer — Education and Care Services National Law (WA)

Department for Communities

[Address]

🞏 I want to pay the modified penalty by cheque or money order. A cheque or money order (payable to Approved Officer — Education and Care Services National Law (WA)) for the modified penalty is enclosed.

🞏 I want to pay the modified penalty by credit card. Please debit my credit card account.

Card type _____________________________

Cardholder name _______________________

Card number

[ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ]

Expiry date of card _____/_____

Amount $__________

Signature ____________________

Complete all details

*The following are approved officers for the purposes of receiving payment of modified penalties:

Method of service

Date of service

Education and Care Services National Law (WA)

WITHDRAWAL OF INFRINGEMENT NOTICE

Withdrawal no.

Alleged offender

Name

Address

Details of infringement notice

Infringement notice no.

Date of issue

Details of alleged offence

Date or period

Place

Written law contravened

Section of the Education and Care Services National Law (WA)

or

Regulation of the Education and Care Services National Law Regulations (WA)

Details of offence

Approved Officer withdrawing notice

Name

Office

Signature

Date

Date of withdrawal

Withdrawal of infringement notice

[*Delete whichever is not applicable]

The above infringement notice issued against you for the above alleged offence has been withdrawn.

If you have already paid the modified penalty for the alleged offence, you are entitled to a refund.

Your refund is enclosed.

or

If you have paid the modified penalty but a refund is not enclosed, you may claim your refund by signing and dating this notice and posting it to:

Approved Officer — Education and Care Services National Law (WA)
Department for Communities

[Address]

Your signature

Date