Annulment application

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Do any of these relate to the person named on the penalty notice?:

Why didn't you deal with the penalty notice?

To apply for annulment, I acknowledge I must supply the following documentation or information, showing the dates the person named on the penalty notice was prevented from dealing with the matter during the fines cycle:

The fines lifecycle is usually from date of offence till the due date on the penalty reminder notice.

Select from the following reasons and provide documentation, if required:

Select the option that best suits your circumstances:

Caring for another person away from my usual residence

Provide a letter (on letterhead) from a medical practitioner or health care professional relating to the person in care confirming the timeframe that you were their primary carer

Overseas for the majority of the fine lifecycle?

Provide a full copy of your movement records from Department of Immigration and Border Protection (DIBP) http://www.border.gov.au

Note: passport copies, travel itineraries and boarding passes will not be accepted.

Or, you may authorise Revenue NSW to access your movement records from Department of Immigration and Border Protection (DIBP).

I authorise Revenue NSW to access my movement records from DIBP:

Yes No

Full name (as it appears on passport):

Date of birth

Passport number:

Country of issue:

Away from usual address for work purposes?

Provide a letter from your employer, or travel itinerary, evidence of expenses, accommodation receipts, credit card/bank statements.

In the hospital or rehabilitation for the majority of the fine lifecycle?

A letter or records from your hospital or rehabilitation facility confirming date(s) of admission and discharge.

I was homeless or in emergency accommodation

A letter from an advocacy group, legal practitioner or specialist service provider confirming your circumstances

Other

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

Select the option that best suits your circumstances:

Did not receive any prior notice until the Overdue fine (enforcement order).

You must provide an explanation, detailing why notices were not received:

Mail delivery issues?

Provide documentation from Australia Post confirming date(s) of delivery issues.

The address was incorrectly recorded by RMS or issuing authority?

Provide documentary evidence from RMS or issuing authority/interstate registering authority (if applicable) showing that an error had occurred in updating the address details.

Was mail withheld from you?

Provide a statutory declaration from the person withholding the mail.

Mail stolen?

Select the option that best suits your circumstances:

Have a chronic medical or mental health issue

Provide a letter and supporting documentation from a health practitioner or a professional qualified to make medical and mental health assessments. The supporting documentation should be no older than 6 months from the date of the application. The document should explain the diagnosis, including the nature, severity and effects of the illness / condition, and how long the illness/condition and how the condition prevented the person named from dealing with the penalty notice.

Have an intellectual disability or cognitive impairment

A letter from a health professional, advocacy group or service provider confirming your circumstances and how your condition prevented you from dealing with the penalty notice.

In custody

Please provide the following:

MIN #:

Date entered custody:required

Date released / Earliest release date:required

Were you known by another name/alias? Please provide details

If the person named on the penalty notice was in custody interstate (other than NSW): Provide a receipt or letter from the Department of Corrective Services, showing the dates the person named on the penalty notice entered and was released from custody to show they were prevented from dealing with the matter.

Extenuating circumstances?

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

What type of fine are you disputing?

Select from the following reasons and provide documentation, if required

Select the option that best suits your circumstances:

Not the driver and want to have fines transferred to the person driving?

Provide a statutory declaration for each penalty notice you want reviewed, witnessed by an authorised person (such as a Justice of the Peace or a legal practitioner)

Quick links:

I had a valid ticket or permit

Provide a clear copy of your ticket or permit (if you had a mobility parking permit, attach a copy of both sides)

The penalty notice has been issued incorrectly or unfairly

Please state why:

Note: if you have documents to support your claim, please attach them later in the application.

Do you have an intellectual disability, a mental illness, or a cognitive impairment which contributed to the offence?

Provide a letter from a health professional, advocacy group or service provider clearly explaining how your circumstances contributed to the offence.

Are you homeless and this contributed to the offence?

Provide a letter from an advocacy group, legal practitioner or specialist service provider clearly explaining how your circumstances contributed to the offence.

Was falsely nominated as the driver for this offence.

Please provide the following:

Documents required to show you could not have committed the offence, such as evidence you were not at the location when the offence occurred:

Department of Immigration and Border Protection (DIBP) movement records
Credit card/bank statements
Letter from your employer
Accommodation receipts.

The vehicle was falsely registered in my name with RMS or interstate registering authority.

Please provide the following:

Police event number:

A letter from RMS or interstate registering authority confirming the vehicle was incorrectly registered in your name, including from/to dates.

Other extenuating circumstances

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

Select the option that best suits your circumstances:

Not the driver and want to have fines transferred to the person driving?

Provide a statutory declaration for each penalty notice you want reviewed, witnessed by an authorised person (such as a Justice of the Peace or a legal practitioner)

Quick links:

The penalty notice has been issued incorrectly or unfairly

Please state why:

Note: if you have documents to support your claim, please attach them later in the application.

Have you had a clear driving record for 10 years prior to the offence (demerit point offences only)

If you had a NSW licence for 10 years prior to the offence, we can check your records. If you held a licence in another state, attach a copy of your traffic record from the relevant transport authority.

Interstate traffic records must contain:

the license holder's full name
all records for 10 years up to the date of offence, if less than 10 years then all records from issue to expiry
a clear indication from the licensing authority that if any offences occurred, they would be showing on the record.

Have you held a NSW driver licence for the last 10 years?

Yes No

Do you have an intellectual disability, a mental illness, or a cognitive impairment which contributed to the offence?

Provide a letter from a health professional, advocacy group or service provider clearly explaining how your circumstances contributed to the offence

Was falsely nominated as the driver for this offence.

Please provide the following:

Documents required to show you could not have committed the offence, such as evidence you were not at the location when the offence occurred:

Department of Immigration and Border Protection (DIBP) movement records
credit card/bank statements
letter from your employer
accommodation receipts.

The vehicle was falsely registered in my name with RMS or interstate registering authority.

Please provide the following:

Police event number:

A letter from RMS or interstate registering authority confirming the vehicle was incorrectly registered in your name, including from/to dates.

Other extenuating circumstances

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

Select the option that best suits your circumstances:

Do you have an intellectual disability, a mental illness, or a cognitive impairment which contributed to the offence?

Provide a letter from a health professional, advocacy group or service provider clearly explaining how your circumstances contributed to the offence.

Were you homeless and this contributed to the offence?

Provide a letter from an advocacy group, legal practitioner or specialist service provider clearly explaining how your circumstances contributed to the offence.

Have you had a valid ticket, permit or concession card?

Provide a clear copy of your ticket or permit (if you had a mobility parking permit, attach a copy of both sides) or your Opal statement or concession card.

The penalty notice has been issued incorrectly or unfairly

Please state why:

Note: if you have documents to support your claim, please attach them later in the application.

Other extenuating circumstances

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

Select the option that best suits your circumstances:

Do you have an intellectual disability, a mental illness, or a cognitive impairment which contributed to the offence?

Provide a letter from a health professional, advocacy group or service provider clearly explaining how your circumstances contributed to the offence.

Were you homeless and this contributed to the offence?

Provide a letter from an advocacy group, legal practitioner or specialist service provider clearly explaining how your circumstances contributed to the offence.

The penalty notice has been issued incorrectly or unfairly

Please state why:

Note: if you have documents to support your claim, please attach them later in the application.

Other extenuating circumstances

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

Select the option that best suits your circumstances:

Do you have an intellectual disability, a mental illness, or a cognitive impairment which contributed to the offence?

Provide a letter from a health professional, advocacy group or service provider clearly explaining how your circumstances contributed to the offence.

Were you homeless and this contributed to the offence?

Provide a letter from an advocacy group, legal practitioner or specialist service provider clearly explaining how your circumstances contributed to the offence.

The penalty notice has been issued incorrectly or unfairly

Please state why:

Note: if you have documents to support your claim, please attach them later in the application.

Other extenuating circumstances

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

Select the option that best suits your circumstances:

Do you have an intellectual disability, a mental illness, or a cognitive impairment which contributed to the offence?

Provide a letter from a health professional, advocacy group or service provider clearly explaining how your circumstances contributed to the offence.

Were you homeless and this contributed to the offence?

Provide a letter from an advocacy group, legal practitioner or specialist service provider clearly explaining how your circumstances contributed to the offence.

The penalty notice has been issued incorrectly or unfairly

Please state why:

Note: if you have documents to support your claim, please attach them later in the application.

Other extenuating circumstances

We can only review your fine in very specific circumstances. Explain your reasons for review and attach documentation supporting your claim.

Description:

Application fee

You must pay a $50 application fee per Overdue Fine. The fee is non-refundable, unless an error has been made.
Note: some Overdue Fine Notices may list multiple penalty notices, however only one fee is payable per Overdue Fine Notice.

An annulment fee may be waived in certain circumstances. To request waiver of your application fee you will need to provide supporting documentation. Supporting documents must be uploaded at the end of the application.

The application fee for a company is not generally waived except in exceptional circumstance.

Please select one of the options below which best describes your circumstances:

In receipt of a Centrelink benefit

You may authorise Revenue NSW to perform a Centrelink enquiry of your customer details:

Yes No

Homeless

Provide a letter from advocacy group, legal practitioner, specialist service provider, case worker, or a government agency or non-government organisation with experience working with people experiencing homelessness clearly explaining your current living arrangements. Any supporting documentation should be dated within 3 months from the date of the application.

Mental illness

Provide a letter from a health practitioner, psychiatrist, psychologist, mental health nurse, case worker, legal practitioner or a government agency or non-government organisation with professionals qualified to make assessments. The documentation should explain the situation, the diagnosis, the severity and effects. The supporting documentation should be no older than 6 months from the date of the application.

Intellectual disability

Cognitive impairment

None of the above

Based on your answers, you must pay the $50 application fee to proceed with this application. This can be paid using the reference details listed on the Overdue Fine. Pay now (page will open in a new window). Once paid, obtain the receipt number and enter it in the receipt number field provided below.

Please advise the receipt number or payment reference number:

Annulment application

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