Request for Screening Review

If you are not in agreement with the Penalty Notice you have recieved, you may request a Screening by filling out the form below.

Ticket Information
Ticket Number*
Plate Number*

Registered Owner Information
Address, City, Postal Code*

IMPORTANT if you are not the registered owner of the vehicle, please complete the Authorization to Act Form. The registered owner must authorize you to request a review of the penalty notice.

Violation and screening Information
Reason for Requesting Screening*

Please acknowledge that you understand all screenings will be in English, and if you require an interpreter, you are responsible for providing your own.