City of Port Phillip

Application for Internal Review of a Parking Infringement

 
This online form is to contest a parking infringement notice
* Denotes that the field is mandatory
Infringement Number (Ticket No) * 
Vehicle Registration *
First Name *
Last Name *
Mailling Address * The Response from Port Phillip Parking Services will be sent to this address
A response will not be sent by email
Unit Number
Street Number *
Street Name *
Suburb *
State *
Postcode *
Telephone Number
Email (Acknowledgement of this application for internal review will be sent to this email address) *
Confirm your Email address *
Grounds for contesting the infringement notice * 
Please do not include credit card numbers in the text boxes above or the files that you upload.
If we find credit card details in any file uploaded, the file will be removed and deleted from your infringement Appeal.
Optional Attachments: Please attach any related images or documents that will support your application to review the infringement.
A maximum of three documents may be submitted.
The following file types are accepted: .jpg, .png, .gif, .doc, .docx and .pdf. The maximum file size is 2MB

Privacy


The personal information requested on this application form is being collected by Port Phillip City Council to assist in the assessment of your internal review application. The personal information will be used solely by Council for that primary purpose or directly related purposes. Council may disclose this information to VicRoads and Victoria Police. If this information is not collected, Council will be unable to assess your internal review application. The applicant understands that the personal information provided is for the assessment of the internal review application and that he or she may apply to Council for access to and / or amendment of the information. Requests for access and / or amendment should be made to Council’s Governance department.