Parking Infringement Appeal Form

Infringement Number*

Vehicle Registration*

Date Infringement Issued*

Appellant Email Address*

Please Note: If no automated email response is received within 24hrs, please phone 9273 6022

Please Note: If no automated email response is received within 24hrs, please phone 9273 6022

Driver Contact Details

Driver Contact Details

Driver Given Names*

Driver Surname*

Driver Address*

Suburb*

Postcode*

Driver Contact Number*

Owner Contact Details

Owner Contact Details

Owner Given Names*

Owner Surname*

Owner Address*

Suburb*

Postcode*

Refer to Policy

Please provide details of why Infringement Notice is being contested.

Statement*

Supporting Evidence

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

I declare that the above statement is, to the best of my knowledge, true and correct. I understand that it is an offence to give a false statement or one which is intended to mislead*

Yes

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Parking Infringement Appeal Form

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