GIR Ticket Quotation or Equiry

Are you a GIR client?

Thank you for your continued support.  &#13;&#10;

感謝您一直以來的支持。&#13;&#10;

If the referrer’s name and contact information (phone or email) cannot be provided, the discount may not apply.

如未能提供介紹人姓名及聯絡方式（電話或電郵），可能將不會提供優惠價。

If the Insurance Agent/broker name and contact information (phone or email) cannot be provided, the discount may not apply.

如未能提供保險代理公司/經紀人的姓名和聯絡方式（電話或電子郵件），可能將不會提供優惠價。

You qualify for a welcome discount if you found us on a third-party website—just provide the website link/name for verification.

若您透過第三方網站找到我們，可以享有新客優惠。請提供網站連結/或網站地址/名作驗證。

Source (e.g., company, website, referrer)

Company/website/First NameLast Name

Referrer Email

example@example.com

Referrer Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Are you a ticket holder/Driver?

Your Name

First NameLast Name

Ticket holder Name

First NameLast Name

What is the best time to contact you?

ex: 10:30am-5pm or anytime

Prefer language?

Driver Contact Number

This number must be the ticket holder's contact number.Format: (000) 000-0000.

Contact Number

Additional contact number.Format: (000) 000-0000.

Email

example@example.com

Driver's Licence no.

Enter without space

The vehicle you drove on the date of offence was:

Offence date/the date you got ticket

Date (If the ticket(s) offense date is not on the same day, please enter another request)

Number of ticket(s) you received

If the ticket(s) is not received on the same day at the same time, please submit separate request.

If the police officer issued multiple tickets at the same time, our fee is calculated based on the case as a whole, not on the number of tickets issued.

如警察同一時間發出多張告票，我們的收費將以整個案件計算，而非按告票數量計算。

Did the officer issue a warning to you?

Have the ticket(s) been filed or a court date is indicated on the ticket?

When is ticket's court date?

Date

Please answer a few questions before you submit all the ticket(s):

Is it a camera ticket charge?

What is the charge on the ticket? (if the charge is not on the list, please select other)

Describe a drive-hand-held communication device.

For speeding: Charge ? km/hr in a ? km/hr zone. Was speed reduced by an officer on the roadside? No Yes If yes, ? km/hr(reduced)

Were you involved in a traffic accident?

If yes, please type in detail in the description field & upload related photos (taken at the scene)& documents; dashboard camera recording by email

Upload for all ticket(s), Notice of Trial letter, or related documents

We don't accept any hidden/blocked information on your ticket(s)/documents. Accepted file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif. If you use a mobile phone to fill up the form, you can use the phone camera to submit documents. Please upload file size below 2MB.

Description field for other offense or other comment:

Please write details for your charges or accident description.

Please input required ticket(s) or summons information below:
(Sample ticket: What are the ICON# and offence number?)

ICON (optional)

4 digits at the top left of your ticket(start 0,1,2,3 or 4)

Ticket 1. Offence number

Find the numbers at the top right of your ticket

Select the offence