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If you have received a Penalty Notice and believe you did not commit the offence as indicated, you can complete this form to have it reviewed by a Screening Officer.
Please note that Screening decisions are made in accordance with our governing By-laws.
Please provide the information found on the Penalty Notice
You are required to select one preferred method of Screening.
Please note: A Written Screening allows your Screening to be processed without your attendance.
Scheduled Screenings will be booked for the next available business day. Your time preference will be considered but cannot be guaranteed. A notice will be sent to you confirming the date and time of your Screening appointment. Telephone and electronic Screening appointments cannot be rescheduled or adjourned.
You are required to provide specific reason(s). If you wish to support your Screening with images or other documentation, you will have an opportunity to attach them to this request.
Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif
By signing below, I represent and warrant that: