Forms concerning prescribed offences
Schedule 3 Forms concerning prescribed offences
[r. 10]
[Heading inserted: Gazette 27 Oct 2011 p. 4554.]
Form 3 — Infringement Notice
Juries Act 1957 section 55
Name: Address: |
Infringement Number: | Modified Penalty: $800 |
Due Date: |
It is alleged that you failed without reasonable excuse to obey a summons served upon you /a direction given under Juries Act 1957 section 32H(4) that required you to attend at ............................. on ...................................... at ...................... a.m./p.m.
Section 55(1) states: “A person who, without a reasonable excuse, does not obey a summons that has been served on the person under this Act commits an offence.”
OR
Section 55(2) states: “A person who, without a reasonable excuse, does not obey a direction given under section 32H(4) commits an offence.”
PAYMENT OPTIONS |
Payment can be made: • In person at the registry of any Magistrates Court in Western Australia or at other locations listed here: [website address] • By cheque or money order made payable to the Sheriff’s Office and posted to: [address] • Online at: [website address] • By phone: [phone number] If you do not pay the modified penalty by the due date, 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 subject to a garnishee order allowing money to be taken to pay the penalty, or your property may be seized and sold to satisfy the penalty. |
DISPUTING THE ALLEGATION |
If you wish the matter to be dealt with by a court, do not pay the Infringement Notice. You should advise Jury Services of your intentions in writing to the address below before the due date. If you wish to discuss this further, please contact Jury Services. Under the Juries Act 1957 section 55, the maximum penalty is $5 000. |
JURY SERVICES CONTACT DETAILS |
Address: [address] Email: [email address] Telephone: [phone number] Website: [website address] Office Hours: [hours] |
Authorising Officer (name): _______________ Issue Date: ____________
Issue Location: _________
[Form 3 inserted: Gazette 27 Oct 2011 p. 4554‑5; amended: Gazette 20 Aug 2013 p. 3859; SL 2020/27 r. 5; SL 2020/162 r. 8; SL 2023/33 r. 7.]
Form 4 — Notice Of Withdrawal
Juries Act 1957
Criminal Procedure Act 2004 section 15
Infringement Notice Number: _____________
(Name) (Address)
DETAILS OF INFRINGEMENT NOTICE AND ALLEGED OFFENCE | |
Infringement Notice Number: | |
Date of Issue: | |
Alleged Offence: | Failure to obey summons for jury duty/direction under Juries Act 1957 section 32H(4) |
As the approving officer I withdraw proceedings under the Criminal Procedure Act 2004 section 15 in relation to the Infringement Notice issued for the above offence. Any payments made will be refunded. No further action will be taken.
................................................... ...................................................
Approving Officer (name) Issue Date
[Form 4 inserted: Gazette 27 Oct 2011 p. 4555‑6; amended: SL 2023/33 r. 8.]
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