Parking Infringement Appeal Form

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Parking Infringement Appeal

All fields are required except where indicated
 
Note: street number and street name are needed for all addresses
Include a brief summary containing key times and special circumstances which you would like to be considered
Evidence must be attached for this appeal to be considered
Include a summary containing time the vehicle was left, the nature of the problem and why the car broke down, and the actions taken to rectify the problem and/or remove the vehicle from the location
RAC attended (optional):
State type of evidence eg. RAC letter, car parts or towing receipt
Your RAC letter or receipts must be attached here in order for this appeal
Provide further details of the circumstances that are to be considered
Attach supporting evidence here
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9 Coleville Crescent,
Spearwood 6163

Po Box 1215, Bibra Lake DC,
Western Australia, 6965

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