IE
S.I. No. 158/2017 - Road Traffic Act 2010 (Medical Exemption Certificate) Regulations 2017.
Statutory Text (3 Articles)
1. These Regulations may be cited as the Road Traffic Act 2010 (Medical Exemption Certificate) Regulations 2017.
2. The form set out in the Schedule is prescribed for the purposes of section 4(1B) (inserted by
section 8
of the
Road Traffic Act 2016
(No. 21 of 2016)) of the
Road Traffic Act 2010
(No. 25 of 2010).
SCHEDULE
Road Traffic Act 2010 Medical Exemption Certificate
Deimhniú Díolúine Liachta faoin Acht um Thrácht ar Bhóithre, 2010
Medical Exemption Certificate under
sections 4
(1B) and
5
(1B) of the
Road Traffic Act 2010
Deimhniú Díolúine Liachta faoi ailt 4(1B) agus 5(1B) den Acht um Thrácht ar Bhóithre, 2010
I, the undersigned, being a person registered in the Register of Medical Practitioners established under
section 43
(1) of the
Medical Practitioners Act 2007
, hereby certify that the individual named below was prescribed a lawfully prescribed medicinal cannabinoid containing 9-Tetrahydrocannabinol on the [insert date], for a period of [insert duration of prescription].
Déanaimse, a bhfuil mo shíniú leis seo thíos agus ar duine mé atá cláraithe i gClár na Lia-Chleachtóirí a bunaíodh faoi alt 43(1) d’Acht na Lia-Chleachtóirí, 2007, a dheimhniú leis seo go ndearnadh táirge bunaithe ar 9-Teitrihidreacannaibionól a oideasú go dleathach chun críoch íocshláinte don phearsa aonair atá ainmnithe thíos ar an [cuir isteach an dáta], ar feadh tréimhse [cuir isteach ré an oidis].
Details of Person to whom drug prescribed
Mionsonraí an Duine dá ndearnadh an druga a oideasú
Person’s name/
Ainm an duine
..............
Person’s date of birth/
Dáta breithe an duine
..............
Person’s address/
Seoladh an duine
..............
..............
..............
..............
Person’s driving licence number (where available)/
Uimhir ceadúnais tiomána an duine (i gcás go bhfuil sí ar fáil)
..............
Details of prescribing medical practitioner (stamp may be used)
Mionsonraí an lia-chleachtóra a thug an t-oideas (féadfar stampa a úsáid)
Name (Block Capitals)/
Ainm (Bloclitreacha)
..............
Medical Practitioner
Number of Practitioner on Medical Register
Address/Lia-Chleachtóir
Uimhir an Chleachtóra ar Chlár na Lia-Chleachtóirí
Seoladh
..............
..............
..............
..............
Telephone/
Guthán
..............
Email address/
Seoladh ríomhphoist
..............
Signature/
Síniú
..............
Date/
Dáta
..............
It is a criminal offence to sign this form if it contains information which you know to be false.
Is cion coiriúil é an fhoirm seo a shíniú má tá faisnéis inti arb eol duit í a bheith bréagach.
GIVEN under my Official Seal,
13 April 2017.
SHANE ROSS,
Minister for Transport, Tourism and Sport.
EXPLANATORY NOTE
(This note is not part of the Instrument and does not purport to be a legal interpretation.)
These Regulations prescribe the form of Medical Exemption Certificate under
section 4
(1B) of the
Road Traffic Act 2010
, indicating that a person has been prescribed a medication containing cannabis.
Notice of the making of this Statutory Instrument was published in
“Iris Oifigiúil” of
21
st April
, 2017.
I, SHANE ROSS, Minister for Transport, Tourism and Sport, in exercise of the powers conferred on me by
section 5
of the
Road Traffic Act 1961
(No. 24 of 1961) and section 4 (as amended by
section 8
of the
Road Traffic Act 2016
(No. 21 of 2016)) of the
Road Traffic Act 2010
(No. 25 of 2010) (as adapted by the Transport (Alteration of Name of Department and Title of Minister) Order 2011 (
S.I. No. 141 of 2011
)), hereby make the following regulations