ANNEX II附則
ANNEX II Text of image TEMPLATE FOR THE INFORMATION LETTER referred to in Article 5 [Cover page] [Name, address and telephone number of sender] [Name and address of addressee] INFORMATION LETTER regarding a road-safety-related traffic offence committed in [name of the Member State of the offence] Text of image Page 2 On a road-safety-related traffic offence committed with the vehicle with registration [date] number make model was detected by [name of the responsible body] [Option 1] (1) You are registered as the holder of the registration certificate of the abovementioned vehicle. [Option 2] (1) The holder of the registration certificate of the abovementioned vehicle indicated that you were driving that vehicle when the road-safety-related traffic offence was committed. The relevant details of the offence are described on page 3 below. The amount of the financial penalty due for this offence is EUR/national currency. Deadline for the payment is You are advised to complete the attached reply form (page 4) and send it to the address shown, if you do not pay this financial penalty. This letter shall be processed in accordance with the national law of [name of the Member State of the offence]. Text of image Page 3 Relevant details concerning the offence (a) Data concerning the vehicle with which the offence was committed: Registration number: Member State of registration: Make and model: (b) Data concerning the offence: Place, date and time where the offence was committed: Nature and legal classification of the offence: speeding, failing to use a seatbelt, failing to stop at a red traffic light, drink-driving, driving under the influence of drugs, failing to wear a safety helmet, use of a forbidden lane, illegally using a mobile telephone or any other communication devices while driving (1) Detailed description of the offence: Reference to the relevant legal provision(s): Description of or reference to the evidence for the offence: Text of image (c) Data concerning the device that was used for detecting the offence (2): Type of device for detection of speeding, failing to use a seatbelt, failing to stop at a red traffic light, drink-driving, driving under the influence of drugs, failing to wear a safety helmet, use of a forbidden lane, illegally using a mobile telephone or any other communication devices while driving (1): Specification of the device: Identification number of the device: Expiry date for the last gauging: (d) The result of the application of the device: [example for speeding; other offences to be added:] The maximum speed: The measured speed: The measured speed corrected for margin of error: (1) Delete if not applicable. (2) Not applicable if no device has been used. Text of image Page 4 Reply form (please complete using block capitals) A. Identity of the driver: — Full name: — Place and date of birth: — Number of driving licence: delivered (date): and at (place): — Address: B. List of questions: 1. Is the vehicle, make , registration number , registered in your name? yes/no (1) If not, the holder of the registration certificate is: (name, first name, address) 2. Do you acknowledge that you committed the offence? yes/no (1) 3. If you do not acknowledge this, please explain why: Please send the completed form within 60 days from the date of this information letter to the following authority: at the following address: INFORMATION This case will be examined by the competent authority of [name of the Member State of the offence] If this case is not pursued, you will be informed within 60 days after receipt of the reply form. (1) Delete if not applicable. Text of image If this case is pursued, the following procedure applies: [to be filled in by the Member State of the offence — what the further procedure will be, including details of the possibility and procedure of appeal against the decision to pursue the case. These details shall in any event include: name and address of the authority in charge of pursuing the case; deadline for payment; name and address of the body of appeal concerned; deadline for appeal]. This letter as such does not lead to legal consequences.