Unknown User Statement


Use this form in the situation where you were not the driver or in control of the vehicle/trailer at the time of the offence and you are NOT able to provide details of the person who was in control of the vehicle/trailer.

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

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 separate infringement numbers with a comma. ie 12345,12346,12347...
This is the name of the Council/Hospital/University that issued the infringement. This is never Bartels, Taylor & Associates.

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

Supporting Evidence and other attachments
Unlimited number of files can be uploaded to this field.
10 MB limit.
Allowed types: jpg png pdf doc docx.