[name and address of enforcement authority]
Full name: [forenames, surname]
Date of birth:
Maritime document No (where applicable):
Alleged infringement offence(s) details
Flag, port of registry, and official No:
|Offence No||Offence||Infringement fee|
|1|| || |
|2|| || |
|3|| || |
Payment of infringement fee(s)
The infringement fee(s) is/are payable within 28 days after the date this notice is delivered personally, or served by post.
The infringement fee(s) may be paid to:
[name and address]
Do not detach
Please present both copies of this notice when making payment.
Cheques or money orders should be made out to [name of enforcement authority] and should be crossed and marked
“Not transferable” or
“Account payee only”.
Issued by: [name]
being the Director of Maritime New Zealand/a person duly authorised by the Director/a harbourmaster/an enforcement officer appointed under section 33G of the Maritime Transport Act 1994*.
Important—please read the statement of rights printed overleaf
Statement of rights
1 This notice sets out 1 or more alleged infringement offences. Each offence that is identified by a number is a separate infringement offence. You may decide what to do in respect of each alleged offence individually, and may act in the same way in respect of all alleged offences or in different ways in respect of different alleged offences, as set out below.
Note: If, under section 21(3A) or (3C)(a) of the Summary Proceedings Act 1957, you enter or have entered into a time-to-pay arrangement with an informant in respect of an infringement fee payable by you, paragraphs 4(b), 4(c), 5, and 6 below do not apply and you are not entitled either to request a hearing to deny liability or to ask the court to consider any submissions (as to penalty or otherwise) in respect of the infringement.
5 If you deny liability for the offence and request a hearing, the enforcement authority will, unless it decides not to commence court proceedings in respect of the offence, serve you with a notice of hearing setting out the place and time at which the matter will be heard by the court.
6 If you admit liability for the offence but want the court to consider your submissions as to penalty or otherwise, you should, in your letter to the enforcement authority,—
Non-payment of fee
8 If you do not pay the infringement fee and do not request a hearing in respect of the alleged offence within 28 days after being served with the reminder notice, you will become liable to pay costs in addition to the infringement fee, unless the enforcement authority decides not to commence proceedings against you.