[Insert name of Local Authority (or An Garda Síochána)]

[Cuir isteach ainm an Údaráis Áitiúil (nó ainm an Gharda Síochána)]

(Immobilisation of a vehicle parked in contravention of a prohibition or restriction imposed under section 35, 36 or 36A of the Road Traffic Act 1994 )

(Feithicil atá loctha de shárú ar shrian nó toirmeasc arna fhorchur faoi alt 35, 36 nó 36A den Acht um Thrácht ar Bhóithre 1994 a chur ó ghluaiseacht)

It is an offence for an unauthorised person to remove or interfere with this notice.

Is cion é do dhuine neamhúdaraithe an fógra seo a thabhairt chun siúil nó cur isteach a dhéanamh air.

Notice Number [Insert Notice Number]

Uimhir an Fhógra [Cuir isteach Uimhir an Fhógra]

Location [Insert location of vehicle]

Ionad [Cuir isteach ionad na feithicle]

I.D. Mark [Insert vehicle registration]

Marc Aitheantais [Cuir isteach uimhir chlárúcháin na feithicle]

Date [Insert date]

Dáta [Cuir isteach an dáta]

Time [Insert time]

Am [Cuir isteach an t-am]

having found to be parked [Insert Description of Offence] in contravention of a prohibition or restriction under section 35/36/36A [Delete as appropriate] of the Road Traffic Act 1994 , the vehicle bearing the identification mark recorded above has been fitted with an immobilisation device by the undersigned being/acting under the direction of [Delete as appropriate], a clamping officer.

Ós rud é go bhfuarthas an fheithicil ar a bhfuil an marc aitheantais atá taifeadta thuas loctha [Cuir isteach Tuairisc ar an gCion] de shárú ar shrian nó toirmeasc faoi alt 35/36/36A [Scrios de réir mar is cuí] den Acht um Thrácht ar Bhóithre 1994, rinne an té thíos-sínithe, ar oifigeach teanntála é nó í/atá ag gníomhú de réir treorach ó oifigeach teanntála [Scrios de réir mar is cuí], feiste doghluaiseachta a fheistiú di.

Arrangements will be made for the removal of the immobilisation device following payment by the owner of the vehicle (or person authorised by the owner) of the prescribed charge of €125

Déanfar socruithe chun an fheiste doghluaiseachta a thabhairt chun siúil tar éis d’úinéir na feithicle (nó tar éis do dhuine atá údaraithe ag an úinéir) an muirear forordaithe €125 a íoc

[Insert details of how payment may be made].

[Cuir isteach mionsonraí i dtaobh conas a fhéadfar an íocaíocht a dhéanamh].

Warning No attempt should be made to drive this vehicle or otherwise put it in motion until the immobilisation device has been removed. It is an offence for a person to interfere with an immobilisation device affixed to a vehicle.

Rabhadh Ní ceart aon iarracht a dhéanamh an fheithicil seo a thiomáint nó a chur ag gluaiseacht ar shlí eile go dtí go ndéanfar an fheiste doghluaiseachta a thabhairt chun siúil. Is cion é do dhuine cur isteach a dhéanamh ar fheiste doghluaiseachta atá greamaithe d’fheithicil.

Right of Appeal: A person whose vehicle has been clamped in a clamping place or relocated within or from a clamping place may, following payment of the prescribed charge, appeal the decision to clamp or relocate the vehicle.

Ceart Achomhairc Aon duine a ndéantar a fheithicil nó a feithicil a theanntáil in áit teanntála nó a athshuíomh laistigh d’áit teanntála, nó uaithi, féadfaidh sé nó sí, tar éis an muirear forordaithe a íoc, achomharc a dhéanamh in aghaidh na breithe chun an fheithicil a theanntáil nó a athshuíomh.

[Insert details of the appeal procedures]

[Cuir isteach mionsonraí faoi na nósanna imeachta maidir le hachomharc a dhéanamh]

Signed .......................

Síniú .......................