Schedule 2

Forms

Current

[r. 69]

Form 1 — Infringement notice

Towing Services Act 2024 Infringement Notice		Infringement notice no.
Alleged offender	Name

	Address

Alleged offence	Date or period
	Place
	Written law contravened
	Details of offence

Date	Date of notice
Issuing officer	Identification number
Modified penalty	$________
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 want this matter to be dealt with by prosecution in court, sign and date here: __________________________________ / /20 and post this notice to the Approved Officer at the address below within 28 days after the date of this notice.
How to pay	[Insert details for how and where modified penalty may be paid]

Form 2 — Withdrawal of infringement notice

Towing Services Act 2024 Withdrawal of infringement notice			Withdrawal no.
Alleged offender	Name

	Address

Details of infringement notice	Infringement notice no.
	Date of issue
	Date or period
	Place
	Written law contravened
	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whichever is not applicable]*	The above infringement notice issued against you for the above alleged offence has been withdrawn.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. 1. Your refund is enclosed. or
	2. 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 — Towing Services Act 2024 [Insert address]
Your signature		Date

Form 3 — Entry warrant

Towing Services Act 2024 Entry warrant
To	Authorised officers under the Towing Services Act 2024.
Application	The applicant has applied under the Towing Services Act 2024 s. 96 to me, a magistrate, for an entry warrant.
Applicant’s details	Official details (see Towing Services Act 2024 s. 95(1))
*Purposes mentioned in Towing Services Act 2024* s. 86 for which entry is required**
Suspected contravention(s) of Act (if applicable)	Provision(s)
Warrant	This warrant authorises you to enter the premises described below and exercise the powers in the Towing Services Act 2024 Part 6 Division 2 Subdivision 2.
Premises to be entered
Execution period	This warrant must be executed within ______ day(s) after the date it is issued.
Issuing details	Name of magistrate
	Date			Time
Magistrate’s signature	Issued by me on the above date and at the above time. Magistrate
Execution details	Start	Date: Time:	End	Date: Time:
	Occupier present? Yes/No Entry audiovisually recorded? Yes/No
Person executing this warrant	Name

Form 4 — Order to produce

Towing Services Act 2024 Order to produce business records
To
Application	The applicant has applied under the Towing Services Act 2024 s. 106 to me, a Justice of the Peace, for an order to produce business records.
Applicant’s details	Official details (see Towing Services Act 2024 s. 95(1))
	Contact details
Business records to be produced	Description of records	Version to be produced


Order	You are ordered to produce the version of the record or records described above at the place described below on or before [date].
Warning	It is an offence not to obey this order without a reasonable excuse.
Where records to be produced
Issuing details	Name of JP
	Date		Time
JP’s signature	Issued by me on the above date and at the above time. Justice of the Peace
Service details	On [date] I served a copy of this order on the person to whom it is addressed by: Signature of server
Server’s details	Name
	Contact details

[Schedule 2 amended: SL 2026/179 r. 6.]

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