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Parking Ticket Dispute Form

The Municipality of Central Elgin will only consider parking ticket complaints under limited circumstance and the Municipality is under no obligation to cancel a ticket based on the information collected on this form. A person charged with an offence retains the right to have the matter heard at the Ontario Court of Justice, 480 Sunset Drive, St. Thomas Ontario.

Name

Your Home Address

Your Email Address

Phone Number

Ticket Number

Date Ticket Was Issued

Location Ticket Was Issued (e.g. lot name or street name with nearest cross street)

Licence Plate Number

Vehicle Description (Make/Model/Colour)

Copy of Payment Receipt

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please provide details of why you believe the ticket was issued in error. To substantiate your claim, please provide any physical evidence (photo of paid parking ticket stub, photo of parking location etc.) that justifies your dispute.

I hereby attest that the information provided above is accurate and true to the best of my knowledge. I understand that making a false or misleading statement may constitute an offence

Signature

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Parking Ticket Dispute Form