Application for review of clearway fines

Before completing this online form, ensure that:

  • You have read through the information about requesting an infringement review
  • You have collected the required evidence to support your request
  • You have not previously appealed the same matter
  • The matter you request for review is still at the Infringement Notice or Penalty Reminder Notice stage

Applicant details

* Indicates a required field

Who is making the application? * Required field

Contact details

Contact details of person making this application.

Do you consent to being contacted via email? * Required field

Your infringement number is located in the top right hand section of the notice

Details of person named on infringement

DD/MM/YYYY

Fine details

Why I believe my fine should be reviewed * Required field

Please select one of the following grounds. A description can be found by clicking on the 'help' buttons for more information. The law only allows a public transport fine to be reviewed on one of these grounds. Please also attach the evidence required for each of these options.

Supporting materials

Reasons for infringement review

Please explain in the text field provided or attach a document file on the specified grounds to be reviewed.

Please note: to ensure full consideration is given to your review, please attach all supporting documents.

15,000 characters maximum

Supporting Evidence Upload

Please upload the required supporting evidence into the file manager box provided below. You may upload up to four (4) files of no more than 10MB per file.

Declaration details

Please read and acknowledge acceptance of the terms and conditions for an infringement review on the above stated matter before submitting your application.

  • I understand that this is the only Internal Review for this Infringement that I can submit pursuant to s.22(2)(e) of the Infringements Act 2006.
  • I declare that the information that I have supplied in this form, and any attachments to this form, are true and correct to the best of my knowledge.
  • I understand that by making a false or misleading statement in support of this claim, I may be prosecuted.