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Application For Review of Penalty Infringement Notice

Please complete this form to apply for a Review of Penalty Infringement Notice. Prior to any further action being taken by Council on this infringement notice, you will be advised in writing of the outcome at the address supplied.
The requested information is necessary to investigate your circumstances so please ensure the information provided by you is true and correct in every respect.

For further assistance our Customer Service Team can be contacted 8.00am - 5.00pm Monday to Friday on:
Phone: (03) 5227 0270 or TTY: (03) 5227 0973

Please complete fields marked with

Penalty Infringement Number:
Your vehicle/animal registration number:
Date the ticket was issued:
Driver/Owners Name:
Your Email:
Driver/Owners Postal Address:
Have you read Council’s information brochure Parking, The Road Rules and You?   YesNo
Please provide the circumstances which led to you having been issued with a Penalty Infringment Notice.
I hereby declare that the information provided by me on this form is true and correct in every respect.