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reviews
First Name
Last Name
Is this vehicle registered in a company 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.
Street Address
Suburb
State
Post Code
Country
Infringement Number
Please enter a infringement number. Only alphabet & numbers allowed.
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
Your email address
Are you the registered owner with VicRoads, nominated driver or have authority to represent the owner?
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.
Grounds for Internal Review
- Select a value -
Contrary to Law
Mistake of Identity
Special Circumstances
Exceptional Circumstances
Person Unaware
We strongly urge you to visit the Reviews page before submitting your application to ensure you are lodging your submission under the correct ground for internal review. Be advised that if your submission does not meet one of the accepted grounds for internal review then your submission may not be accepted.
Reason for internal review
Please provide a detailed statement above outlining why you believe your infringement has been issued incorrectly. You may attach any supporting evidence below.
Supporting Evidence and other attachments
Add a new file
Unlimited number of files can be uploaded to this field.
15 MB limit.
Allowed types: jpg png pdf doc.
I Agree
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.
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