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City of Perth
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Applications
New Application
Edit Application
Application Enquiry
Customer Service
New Customer Service Request
Edit non submitted Customer Request
Licensing
New Licence
Edit Licence
Licence Enquiry
Licence Fee Enquiry
General Enquiry
Application Enquiry
Payments
New Payment
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* Denotes that the field is mandatory.
This form is a legal document and can be used as evidence in Court.
Full name and address details must be provided or this appeal will not be accepted.
Please do not enter any
credit card
information in this form. If further information is required, an authorised City of Perth Officer will contact you.
First name
*
Surname
*
I am the:
*
Please Select
contact within the organisation named
person responsible for this infringement
Postal address
*
Suburb
*
Postcode
*
Phone Number
*
Mobile Phone
Contact email address
*
Infringement Number
*
Infringement Date
*
Vehicle Registration (if applicable)
City of Perth Permit No. (if applicable)
Reason for appeal
*
Attachment eg. work contract
If you have evidence to support your appeal, attach here
Attachment 2 eg. work contract
If you have evidence to support your appeal, attach here
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