* Denotes that the field is mandatory.
Further information about Infringement Internal Reviews can be found on Council's website

Infringement Type *
Infringement Number *
Date of Offence *
Vehicle Registration (if relevant)
One or more reasons for appeal can be selected.
Explanation of my circumstances and ground(s) in support of my application *
Attach Supporting Documentation
e.g. witness statements, photographs, medical certificates, reports or other evidence that goes to establishing the facts of your application
Attach Supporting Documentation
e.g. witness statements, photographs, medical certificates, reports or other evidence that goes to establishing the facts of your application
Who is applying? *
Surname *
Given Names *
Email Address *
Contact phone number *
Postal Address
All responses will be posted to your mailing address as per Infringements Act 2006
*
Post Code *
Applicants please note:

If you do not provide sufficient information, the enforcement agency may request further information. If you do not provide this further information within 28 days of the date of request, the enforcement agency may determine the application without further information. Internal reviews are not permitted for an alleged drink- driving, driving under the influence of drugs, or excessive speed infringements that result in a loss of licence.