"I believe on reasonable grounds you were driving a motor vehicle while under the influence of intoxicating liquor or drug to such an extent that you were incapable of having proper control of the motor vehicle.
I now require you to accompany me to:
a police station
the breath testing vehicle
other place (nominate)
for the purpose of a breath test and to remain there until you receive a certificate of analysis or for a period of three hours from the time of driving or being in charge, whichever is sooner.Â
Are you prepared to accompany me?"