Reviews | Bartels, Taylor & Associates Pty Ltd

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

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.