Form 55

/ APPEAL OF ENFORCEMENT DETERMINATION
Magistrates Court of South Australia
www.courts.sa.gov.au
Expiation of Offences Act 1996
Section 14 / Court Use
Fee Paid:
Date Filed:
Service on
Issuing Authority:
Service on FERO:
Registry / File No
Address
Street / Telephone / Facsimile / DX
City/Town/Suburb / State / Postcode / Email Address
Applicant
Full Name / DOB
Address
Street / Telephone / Facsimile
City/Town/Suburb / State / Postcode / Email Address
Issuing Authority
Full Name
Address
Street / Telephone / Facsimile
City/Town/Suburb / State / Postcode / Email Address
Enforcement Determination Particulars
Expiation Notice No. / Date of Offence
Vehicle Registration / Date of Enforcement Determination
Date of Notice of Determination
Offence Particulars
Grounds
I apply to revoke the enforcement determination on the grounds that I did not commit the offence to which the expiation notice relates.
I make an application to appeal out of time (this must be sought if the appeal is being made more than 30 days after the Notice of Determination).
I make an application for an order for suspension of enforcement action for the following reason/s (please also provide the terms of the enforcement action):
.
You must file and serve an affidavit explaining why you did not commit the offence to which the expiation notice relates and if you are appealing more than 30 days after the Notice of Determination you must explain the reasons for the delay.
Please attach the affidavit to this application and any documentary evidence supporting the application. If available, a copy of the Enforcement Determination and Expiation Notice must be filed.
Date APPLICANT
Hearing details / Registry / Date
Address / Time am/pm
Telephone / Facsimile / Email Address
IMPORTANT NOTICE TO THE REGISTRAR
The Registrar must serve a copy of the appeal on the Fines Enforcement and Recovery Officer and the Issuing Authority.
I, (issuing Authority)
herby give notice that I intend to oppose the appeal.
Date ON BEHALF OF THE
ISSUING AUTHORITY
IMPORTANT NOTICE TO THE ISSUING AUTHORITY
The above instructions on appeal are to be filed no later than 7 days before the hearing.