Queen Elizabeth Ii Medical Centre

Infringement Notice Appeal Form

If you have any queries or require any further information regarding the completion of this application form, please contact 6457 1787. Once completed please forward to The Parking Branch, R Block, 2nd Floor, QEII Medical Centre, Nedlands, WA 6009.

Information for appellants

·  Persons who believe they have unjustly received a parking infringement notice have the right to appeal. The appeal must be submitted in writing and will not place the regular infringement process, including the submission of a ticket to the Fines Enforcement Registry, on hold.

·  No member of the QEII Parking Branch has the ability to overturn an infringement notice.

·  Responses to appealed tickets will be sent to the postal address provided on this form approximately two weeks after submission.

·  All appeals will be reviewed objectively by the QEII appeals committee but the following reasons are generally not accepted

o  The driver did not realise the time.

o  The driver’s appointment ran over time or was delayed. The majority of visitor bays on the QEII Medical Centre site are boom gate controlled and require payment before exiting. It is recommended visitors and patients who are uncertain of the length of their visit utilise these bays.

o  The permit or ticket was blown by the wind/accidently placed upside down.

o  The driver made the assumption that payment was not required based on allowances from other hospital sites and councils.

o  The signage was confusing.

o  The driver did not see the sign.

·  The QEII appeals committee will consider all the evidence, information and recommendations made by parking staff when making their decisions.

PLEASE COMPLETE THIS FORM USING CAPITAL LETTERS. ALL SECTIONS SHOULD BE COMPLETED. TICKBOXES SHOULD BE MARKED WITH AN X

Title / Mr / Mrs / Ms / Dr / Prof / Other (please specify)
First Name
Surname
Contact Number
Postal Address:
Infringement Notice Number:
Vehicle Registration
Infringement Date:
[DDMMYYYY]
Reason
for
Appeal:
Appellant’s signature / Date