Submission for Review of Expiation Notice Submission ... - SA.Gov.au

Submission for Review of Expiation Notice
Applicant’s Name:________________________________________Phone/ Mobile:______________________________
Mailing Address:____________________________________________________________________________________
Vehicle Registration Number:______________________Expiation Notice Number (Ticket No):____________________
The Expiation of Offences Act 1996 and Australian Road Rules include provisions that allow an expiation notice to be
withdrawn if certain circumstances exist or the offence could be considered trifling (for the special meaning of trifling see
Section 4(2) of the Expiation of Offences Act 1996).
To assist the Council in determining whether to withdraw your expiation notice, please answer ‘YES’ or ‘NO’ to the following
questions before completing a statement overleaf.
Were you directed to park or stop in the detected location by an Officer of South Australia Police If
yes, please provide documented evidence from the Police Officer.
Was there a medical emergency which resulted in the vehicle being parked or stopped in the detected
location If yes, please provide a copy of the documented evidence from the South Australian Ambulance
Service or Registrar of the relevant Hospital Emergency Administration Department.
Was there a mechanical failure to the vehicle which resulted in it being parked or stopped in the
detected location and which prevented the vehicle from being moved to a legal parking space If yes,
please provide documented evidence from Roadside Assistance or attending Mechanic or Towing Company
confirming date/time of attendance at the location of your vehicle.
Y
N
Y
N
Y
N
Does the Expiation Notice which you received contain incorrect information, such as incorrect date or
location If yes, please detail in your written statement. Please note that photographs may have been taken
at the time of the offence and a new expiation notice may be issued with corrected information.
Y
N
Were the signs indicating parking restrictions not in accordance with the requirements of the
Australian Road Rules or relevant Australian Standards If yes, please include a diagram or photo
indicating the inaccuracy.
If you have a current Exemption or Permit to park in a restricted zone, was the Exemption or Permit
displayed and fully visible on the passenger side of the dashboard Please note photographs may have
been taken at the time of the offence.
Were there compelling humanitarian or safety reasons or other reasons for the conduct that resulted
in the alleged offence occuring or was the offence trifling for some other reason If yes, please provide
documentary evidence and complete the statement overleaf.
Y
N
Y
N
Y
N
1. If you answered No to the questions listed above it is unlikely that the expiation notice will be withdrawn. However, you
may wish to provide the Council with further information as to why the Expiation Notice should be withdrawn by providing a
statement overleaf.
2. In certain circumstances Council may request a Statutory Declaration to support the information detailed in the statement
overleaf. To avoid further delays you may wish obtain a Statutory Declaration from Councils Offices or download from
http://www.burnside.sa.gov.au/Live/Forms_Permits to submit with this review form.
3. Section 15(4) of the Expiation of Offences Act 1996 provides that payment of an expiation notice does not constitute an
admission of guilt or civil liability.
4. Payment of the expiation fee can be made by phoning the Council Offices (8366 4200) during business hours or online
via our website www.burnside.sa.gov.au or in person at 401 Greenhill Rd Tusmore SA 5065.
5. If you are having financial difficulties and unable to pay by the due date, an application can be made to the Fines
Enforcement and Recovery Unit to make payments by instalments, call 1800 659 538 or www.fines.sa.gov.au

Statement: (Please complete in legible handwriting)
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Applicant Signature: ____________________________________ Date: _______________________________
A Statutory Declaration may be requested by Council to support the information above.
Only one review of an expiation will be undertaken, please provide all supporting documentation with this
submission. Council’s determination is final and for further disputes you must elect to be prosecuted.
Please forward to PO Box 9 Glenside SA 5065 or email to burnside@burnside.sa.gov.au