ACT Criminal Infringement dispute or withdraw

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ACT Criminal Infringement

Dispute liability or request withdrawal of Notice

  • This form applies to ACT Criminal Infringement notices only
  • You must submit the form within 28 days after the 'Date of Service' of the Infringement Notice or the Reminder Notice
  • You will be notified of the results of your request, in writing, by mail
  • If you dispute liability, the matter will be referred to court

* indicates mandatory field – complete this information to submit the form.

Please note: An error has been identified that prevents some forms from being submitted. Please remove single quotes or apostrophes (For example O'connell, police officer's, etc.) and ampersands (&).

Notice details

Criminal Infringement ref 1*
Date of service 1*
Infringement ref 2
Date 2
Infringement ref 3
Date 3
Infringement ref 4
Date 4
Infringement ref 5
Date 5
Infringement ref 6
Date 6

Contact details

Reference number of your ID produced at the time*
State*
Full name*
Current street address*
Suburb*
State*
Postcode*
Country*
Contact phone*
Type
Alternate phone contact
Type
Email address

Dispute details

Type of dispute*
  •  
  •  
Grounds for dispute*
(why you believe you are not liable, or why the Notice should be withdrawn) (limit of 2000 characters)

If you have any problems with this online form, email AFP Criminal Infringements.