Expiation Notice Expiation of Offences Act 1996 Dog and Cat Management Act 1995, Dog and Cat Management Regulations 2017 To: «Offender» Date of Issue: «PrintedDate» Notice Number:«Infringement_No» It is alleged that you committed the following offence: Offence: «Legislation» «Other_Details1»«Other_Details_2» Date: «Infringement_Date» Location: «Other_Details_3» Animal Reference No: «Reference_No» The offence is expiable by payment of the total amount payable on or before the pay by date to [insert council name] unless an arrangement is entered into with the Chief Recovery Officer under section 20 of the Fines Enforcement and Debt Recovery Act 2017. Expiation Fee: $«Balance».00 Pay By Date: «Plus28» Total Amount Payable: $[insert] Election to be Prosecuted/Dispute of Offence Expiation Notice No: «Infringement_No» I (Mr/Mrs/Ms) (First Name) (Last Name) of (Unit/House Number) (Street) (Suburb) (Postcode) Please tick appropriate box: elect to be prosecuted for the offence dispute the offence for the following reasons: (If there is insufficient space, please attach further sheets) If you were not the owner or person in control of the dog at the time of the offence, do not complete this form but instead complete the statutory declaration on the other side of this notice. You may, before electing to be prosecuted, dispute the offence informally. Signed: Date: / / Payment Slip Expiation Notice No: «Infringement_No» I wish to expiate the offence. Payment in full: $ Payment Options The offence may be expiated in person by cash, credit card, cheque, money order or Eftpos, or by post with cheque or money order, or over the telephone with credit card. To pay by telephone using a credit card (MasterCard or Visa only) ring: (08) 8xx xxxx To pay by post using cheque or money order only mail to: PO Box xx, XXXX, SA 5xxx
Expiation Notice Expiation of Offences Act 1996 Dog and Cat Management Act 1995, Dog and Cat Management Regulations 2017 To: «Offender» Date of Issue: «PrintedDate» Notice Number:«Infringement_No» It is alleged that you committed the following offence: Offence: «Legislation» «Other_Details1»«Other_Details_2» Date: «Infringement_Date» Location: «Other_Details_3» Animal Reference No: «Reference_No» The offence is expiable by payment of the total amount payable on or before the pay by date to [insert council name] unless an arrangement is entered into with the Chief Recovery Officer under section 20 of the Fines Enforcement and Debt Recovery Act 2017. Expiation Fee: $«Balance».00 Pay By Date: «Plus28» Total Amount Payable: $[insert] Election to be Prosecuted/Dispute of Offence Expiation Notice No: «Infringement_No» I (Mr/Mrs/Ms) (First Name) (Last Name) of (Unit/House Number) (Street) (Suburb) (Postcode) Please tick appropriate box: elect to be prosecuted for the offence dispute the offence for the following reasons: (If there is insufficient space, please attach further sheets) If you were not the owner or person in control of the dog at the time of the offence, do not complete this form but instead complete the statutory declaration on the other side of this notice. You may, before electing to be prosecuted, dispute the offence informally. Signed: Date: / / Payment Slip Expiation Notice No: «Infringement_No» I wish to expiate the offence. Payment in full: $ Payment Options The offence may be expiated in person by cash, credit card, cheque, money order or Eftpos, or by post with cheque or money order, or over the telephone with credit card. To pay by telephone using a credit card (MasterCard or Visa only) ring: (08) 8xx xxxx To pay by post using cheque or money order only mail to: PO Box xx, XXXX, SA 5xxx
Attachment_A-_Expiation_Notice_Example%20-%20Jan%202014.docx