Privacy Statement

The personal information is being collected by Council to conduct an ‘Internal Review’ of your infringement notice(s), under the Infringements Act 2006.  The information will be stored in Council’s Customer Database and used to identify you when communicating with Council and for the delivery of services and information.  Your information may need to be verified by VicRoads and disclosed as permitted by law or enforcement purposes.  For further information on how your personal information is handled, view our Privacy Policy here.

Please note:

If you are applying for a parking infringement and you were not the driver at the time, please click here for the Nomination Form.

For all other infringements, please continue

Infringement Details
Contact Details
Preferred Contact Number Type (required)

Residential Address

if applicable

Agent or Representative's Details
Reply Details (Only complete if the address Council is to reply to is different to the applicant’s address above)
Grounds for application for internal review
Options (required)

Exceptional circumstances

Exceptional circumstances are events that were unforeseen, for example:

  • a medical emergency
  • temporarily parking a damaged vehicle, directly following involvement in an accident
  • mechanical breakdown.

Attachment needed: documentation that supports the exceptional circumstance, including its time and date.

Reasons (required)
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.

Special circumstances

Special circumstances apply if the person that received the parking fine was affected at the time of the offence by:

  • Homelessness
  • Family Violence (which results in the person being unable to control conduct which constitutes an offence)
  • A mental or intellectual condition, or a serious addiction to drugs or alcohol, that meant that they:
  • Did not understand that the behaviour was against the law, or
  • Couldn’t control the behaviour that was against the law (even if they knew it was against the law)

Attachment needed: evidence from a medical practitioner, social worker or drug and alcohol counsellor.

Contrary to law

This means that you believe no parking offence took place. An example of this is receiving a notice for parking in a Loading Zone on a Saturday when the zone rules apply Monday to Friday.

Attachments may be needed to show the information on the signage.

Mistake of identity

This means that either you weren't the driver who committed the parking offence (the car was stolen or driven by someone else), or your registration number was recorded incorrectly.

Attachments needed:

  • If committed by another driver, complete the Nomination statement form.
  • If your car was stolen, provide a copy of the police report.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, jpg, png.

Person unaware

This means that you were not aware that you had an infringement notice. You must make an appeal within 14 days of becoming aware of the infringement notice. You are not entitled to apply for appeal under this ground if you have moved address and not notified VicRoads within 14 days of change of address.

Please note that Council will not withdraw your infringement under this ground and will only consider waiving additional costs as may be warranted.

Attachment: You must provide evidence to support your claim that you were unaware.

One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
Reasons for grounds
One file only.
64 MB limit.
Allowed types: pdf, doc, docx, ppt, pptx, xls, jpg, png.
Declaration

I declare the information that I have provided in this application and any attachments to this application are true and correct to the best of my knowledge.

I understand the Infringements Act 2006 only allows for one internal review of an infringement notice, and Council is not required to consider any further correspondence in relation to a further review of the infringement notice once a decision has been made.

Signature:  Please use mouse to insert your signature
Use mouse to insert your signature
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