Request to Cancel Infringement Offence Notice

Request to Cancel Infringement Offence Notice

CM018
Note that the grounds for revoking an infringement notice are very limited, and you must be able to prove an offence was not committed or be able to show that a statutory defence to the offence exists (such as having a reasonable excuse why it was).

Include all evidence and supporting information with your application to avoid delays in processing.

You can expect to receive the result of your application within 10 working days of us receiving your request. We will advise you, in writing, of the outcome.
Name and reference details
Name*

First NameLast Name
Postal Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Email*
example@example.com
Phone Number*
Infringement notice number*
Date of infringement notice*

MonthDayYear
Date
Reason for request
Describe the events and/or circumstances for requesting cancellation of this infringement offence notice *
Supporting documents
Attach the supporting documents to verify your request*

Cancelof
Declaration
I certify that:*

the information provided on this form is correct
Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Name and reference details