The name of the company that owns the vehicle. Leave blank if vehicle is privately owned.
Your position at the company that owns the vehicle. Leave blank if vehicle is privately owned.
Please enter a infringement number. Only alphabet & numbers allowed.
This is the name of the Council/Hospital/University that issued the infringement. This is never Bartels, Taylor & Associates.
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.
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
Unlimited number of files can be uploaded to this field.
15 MB limit.
Allowed types: jpg png pdf doc.