Infringements Other—specify Act 2006 section 40 Are there No Yes—see "Continuation of more Charges" attached charges? Summary offence Indictable offence Type of offence Request for No Yes committal proceeding Who filed the charge-sheet(s)? Name of Informant: Agency and Address: Email: Fax No.: Agency Ref.: Signature of Informant: Date: at: Date: Where will the case be heard? The Magistrates' Court at [venue] Address Phone When Time Day Month Year
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: Email: Fax No.: Agency Ref.: Signature of Informant: Date: at: Date: Where will the case be heard? The Magistrates' Court at [venue] Address Phone When Time Day Month Year
09-181sr016.docx