Online Form - Non-Parking Infringement Appeal Form

Navigation

Introduction
Infringement details
Applicant details
Appeal information
Declaration
Submit Response

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Infringement details

Infringement Type*

Infringement number*

Applicant details

Title

First name*

Middle name/s

Last name*

Phone*

Email*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Is your postal address the same as above?

YesNo

Appeal information

Please provide your reason for appealing the infringement notice. You may also supply any supporting documentation along with your appeal.*

Maximum total combined file size is 10MB.

Please attach documentation supporting your appeal

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

Declaration

Declaration*

I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief.

Additional information

You can also lodge your appeal by using a Statutory Declaration using the form below. If you have been requested to supply further information, then you can also use the form below.

Note - the below form must be signed by an authorised person before the Town will accept it.

Oaths, Affidavits and Statutory Declarations Act 2005 form

A statutory declaration is a written statement that allows a person to declare something to be true and accurate. When making a statutory declaration, you are declaring that your statement is in fact true and accurate. Should you intentionally make a false statement in a declaration, you can be charged with an offense. The penalty for making a false statement may result in a fine and or imprisonment.

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