Penalty Charge Notice Challenge form

Please read the conditions of challenging a parking fine before completing this form. You can also refer to our frequently asked questions.

Please enter the Notice number: GU/ ^*

Please enter the registration number ^*

Issue date of Notice ^*

Issue date of Notice

Were you the driver of the vehicle at the time of the alleged contravention? ^*

Were you the driver of the vehicle at the time of the alleged contravention?

Yes

Your name ^*

Your address ^*

Your telephone number ^*

Name of the driver ^*

Address of the driver ^*

Telephone number of the driver ^*

Is the registered keeper as above? ^*

Is the registered keeper as above?

Yes

Name of registered keeper ^*

Address of the registered keeper ^*

Please explain the circumstances that you wish to be considered as the basis for your challenge. ^*

There is no word number limit on this text box.

If you have purchased a ticket for this visit please attach a scanned in image of the ticket.

To attach more than one image click the 'Add' button next to browse

Please note: We cannot accept files over 2mb.

If you are a disabled (blue) badge holder, please attach a scanned in image of the badge.

To attach more than one image click the 'Add' button next to browse

Please note: We cannot accept files over 2mb.

Email address ^*

Your email address will be used to send you a receipt of your form submission

The information provided on this challenge form is true and accurate to the best of my knowledge and I have not knowingly made a false statement about the circumstances of this challenge in order to affect its outcome. (please check the box if this statement is true) ^*

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