"I believe on reasonable grounds you were in charge of a motor vehicle:
While exceeding the prescribed concentration of alcohol
Whilst you were 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?"