An infringement notice is to include the following particulars:
(a) the name and address of the alleged offender;
(b) the date, time and place of the offence;
(c) the nature of the offence and the prescribed amount payable in respect of that offence;
(d) the person to whom the alleged offender may pay the prescribed amount and the address of that person;
(e) the date of the infringement notice and a statement that the prescribed amount may be paid within 28 days after that date;
(f) a statement to the effect that, if the alleged offender wishes to pay the prescribed amount, he or she should complete the relevant part of the infringement notice and return the notice with the prescribed amount to the person specified in the notice;
(g) a statement to the effect that, if the alleged offender wishes to be dealt with by a court in relation to the offence, he or she should not pay the prescribed amount but should complete the relevant part of the infringement notice and return the notice to the person specified in the notice;
(h) a statement that, if the alleged offender does nothing in response to the infringement notice, a summons may be issued requiring the alleged offender to appear before the Local Court to be dealt with in relation to the offence;
(i) any other particulars approved by the Commissioner.