Take an Infringement to Court Form

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Take an Infringement to Court

All fields are required except where indicated

Infringement number(s):

Title (select from the drop box below - optional):

First name:

Surname:

Address (PO box not accepted):

Note: street number and street name are needed for all addresses

Email:

Landline (e.g. 08 9500 1234 - optional):

Mobile (e.g. 0400 123 456):

Reason for contesting infringement:

Description of supporting information (optional):

Attach supporting information (optional):

I wish to have this matter dealt with by a Court and understand that I will be receiving a summons in due course:

I wish to have this matter dealt with by a Court and understand that I will be receiving a summons in due course

Contact

Address

9 Coleville Crescent,
Spearwood 6163

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

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

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