Date: ________

By: ________
Address: ________
Email: ________
Telephone: ________

To:
The Parking Appeals Officer
________
________

Re: Representation against Fixed Charge Notice / Parking Charge Notice No. ________, issued ________

To whom it may concern,

§1. I write to make representations against, and to appeal, the parking fixed charge notice (the “Notice”) recently issued to me in respect of the vehicle particularised below. I make these representations pursuant to the Road Traffic Act 2010 (as amended), the relevant provisions of the Road Traffic (Public Service Vehicles) Regulations and the bye-laws made under section 36 of the Road Traffic Act 1994 by ________.

§2. Particulars of the alleged offence:

2.1 Notice / reference number: ________

2.2 Date and time of issue: ________

2.3 Vehicle registration number: ________

2.4 Make, model and colour of vehicle: ________

2.5 Location at which the vehicle was parked: ________

2.6 The cited infraction was as follows:

________

2.7 The fixed charge / penalty imposed was: €________ (________ euro).

§3. I confirm that, as at the date of the alleged offence, I was the registered owner / driver of the said vehicle.

§4. I respectfully appeal the issuing of the Notice on the following grounds:

________

§5. In support of these representations, I enclose the following documentation and evidence, which I ask you to take into account when reviewing this matter:

________

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§8. I should be grateful if you would acknowledge receipt of this appeal and confirm in writing the outcome of your review in due course. I reserve the right to refer this matter to the District Court and/or to make any further submissions should the Notice not be cancelled.

§9. I confirm that the information contained in this letter is true and accurate to the best of my knowledge and belief.

I look forward to your response and to a favourable resolution of this matter. Thank you for your time and consideration.

Yours faithfully,

_______________________________
________
Dated: ________