Illegal user

Use this form in the situation where your vehicle/trailer was stolen at the time of the offence.

Your Details (Please use the details exactly as they appear on your licence)

First Name

Last Name

Company Name

The name of the company that owns the vehicle. Leave blank if vehicle is privately owned.

Position at company

Your position at the company that owns the vehicle. Leave blank if vehicle is privately owned.

Your Postal Address

Suburb

State

Post Code

Country

Infringement Number

Please separate infringement numbers with a comma. ie 12345,12346,12347...

Agency Name

This is the name of the Council/Hospital/University that issued the infringement. This is never Bartels, Taylor & Associates.

Vehicle Registration Number

Telephone Number

Please be advised that only the registered owner of a vehicle can request a review of an infringement. The owner must submit a Known User Statement nominating you as the driver of the vehicle or a letter of authorisation authorising you to represent them for this matter. If you have one of the requested documents from the owner, please attach it below.

Are you the registered owner with VicRoads, nominated driver or have authority to represent the owner?

I state that at the time of the offence I believe that

The motor vehicle was a stolen motor vehicle

The trailer was a stolen trailer

The number plates displayed on the motor vehicle were stolen and / or

The number plates displayed on the trailer were stolen

I provide the following reasons for my belief

Supporting Evidence and other attachments

Add a new file

Unlimited number of files can be uploaded to this field.
2 MB limit.
Allowed types: jpg png pdf doc docx.

Acknowledgement

I understand and acknowledge that:

This document is a digitally signed statement.
It is an offence to provide false or misleading information and a penalty may be imposed under the relevant acts.

I Agree

Your email address

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