Victorian Numbered Regulations Victorian Numbered RegulationsAfter Schedule 3 to the Principal Regulations insert —
"__________________
SCHEDULE 4
FORM 1
Regulation 57A
Liquor Control Reform Act 1998
BARRING ORDER
This barring order is issued*/varied* by the licensee*/permittee*/responsible person*/member of the police force* under section 106D*/106I* of the Liquor Control Reform Act 1998 .
Type of order—barring order*/notice of variation to a barring order*
Name of barred person
Address of barred person (if known)
Date of birth of barred person (if known)
Trading name of licensed premises
Liquor licence number
Address of licensed premises
Name of licensee*/permittee*/responsible person*/member of the police force*
Victoria Police registered number (if applicable)*
Barring order reference number
Commencement date and time
Expiry date and time
This order has been issued because the person being barred is drunk, violent or quarrelsome in the licensed premises*/the person issuing the order reasonably believes the safety of the person being barred, or any other person in the licensed premises, is at substantial or immediate risk as a result of that person's consumption of alcohol*. (not applicable to variation)
The following is a brief description of the particulars of the circumstances giving rise to the issue of the order*/the nature of the variation*—
[ specify reasons for issuing barring order or nature of the variation ]
Offences
If you have been served with this barring order, it is an offence for you to—
● Enter or remain on the licensed premises without a reasonable excuse; or
● Re-enter or remain in the vicinity of the licensed premises without a reasonable excuse for the duration of the order.
The vicinity of a licensed premises means a public place that is within 20 metres of the licensed premises.
These offences carry a maximum fine of 20 penalty units.
Order issued by [ insert name and signature of licensee, permittee, responsible person or member of the police force ]
This order was issued on [ insert date ].
*Delete if inapplicable
__________________
FORM 2
Regulation 57B
Liquor Control Reform Act 1998
NOTICE OF VARIATION OF BARRING ORDER
I, [ insert name of Director of Liquor Licensing or delegate ], delegate of* the Director of Liquor Licensing appointed under the Liquor Control Reform Act 1998 ( Act ), am empowered under section 106I(2) to vary a barring order.
1 I hereby order the following variation(s*) to barring order reference number [ insert barring order reference number ] (Barring Order) issued to [ insert name of barred person ] of [ insert barred person's address ] in respect of [ insert name of licensed premises ] at [ insert address of licensed premises ], liquor licence number [ insert liquor licence number ]—
[ specify variation(s) to barring order ].
2 The remaining details in the Barring Order are not affected by this notice and will remain in force for the duration of the Barring Order, unless otherwise amended.
Notice issued by [ insert name of Director of Liquor Licensing/delegate, title of Director of Liquor Licensing/delegate, signature of Director of Liquor Licensing/delegate ]
Date: [ insert date ]
Time: [ insert time ]
*Delete if inapplicable".
═══════════════