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Fines - nomination statement

Category:

Fines

To nominate the driver of a vehicle or to request that the matter be determined by a Magistrate, please complete the Nomination Statement or Application for Action by Court form.

More about fines and objections

Online Nomination Statement or Application for Action by Court

Nomination Statement or Application for Action by Court (docx, 46KB)

Nomination Statement or Application for Action by Court (pdf, 160KB)

Return the document to:

Maroondah City Council
PO Box 156, Ringwood VIC 3134

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Maroondah City Council is committed to protecting your privacy as prescribed by the Privacy & Data Protection Act 2014 and the Health Records Act 2001. The information you provide on this form is being collected by Maroondah City Council for the strict purpose of conducting Council business. Your information will not be disclosed to any external party without your consent, unless Council is required or authorised to do so by law. Failure to provide the information requested may make you ineligible to receive the service or be part of an event/function that is the subject of this form. Any access to the information, amendments that may be required or any privacy enquiries may be directed to Council's Privacy Officer & Health Records Officer on 9298 4211 or email privacy@maroondah.vic.gov.au

Fines - nomination statement

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