1 Exceptional Circumstances
Please provide details of the exceptional circumstances (where you have committed the offence due to unforeseen or unpreventable circumstances, e.g. medical emergencies).
2 Contrary to Law
Please provide the reasons why you consider the decision to issue you with an Infringement was unlawful (e.g. the Infringement was not valid).
3 Special Circumstances
Special circumstances includes:
A mental or intellectual disability, disorder, disease or illness
A serious addition to drugs, alcohol or volatile substance
Family violence within the meaning of the Family Violence Protection Act 2008.
You must provide evidence (e.g. letter, report, statement) from one of the following parties to support your application.
A case worker, case manager or social worker
A general practitioner, psychiatrist or psychologist, or
An accredited drug treatment agency.
Evidence (e.g. letter, statement or a report) from practitioner or case worker should include the following formation:
The practitioner/case worker’s qualification and relationship with you, including the period of engagement
The nature, severity and duration of your condition or your circumstances:
Whether you were suffering from the relevant condition or circumstances at the time the offence was committed, and
Whether, in the opinion of the practitioner/case worker, it is more likely than not that your condition/circumstances resulted in your inability to understand or control the conduct constituting the offence.
The practitioner or agency report must show that because of your condition/situation you could not understand or control constituting the offence.
4 Mistaken Identity
Please provide an explanation of why you reply on the ground of mistake of identity (including evidence e.g. copy of your driver’s licence, in support).
5 Person Unaware of Fine
An application made on the ground of ‘person unaware’ must:
Be made within 14 days of you becoming aware of the infringement notice (You may evidence the date that you became aware of the infringement notice by executing a statutory declaration)
State the grounds on which the decision should be reviewed, and
Provide your current address for service.
6 Penalty Reminder Notice Fee Waiver Request
Please provide the reason(s) why you believe the Penalty Reminder Notice Fee should be waived.
Note: The original penalty amount is still applicable under this request.