Apply for a parking fine payment plan 1Introduction2Applicant details3Fine details and payment plan4Review You can use this form to apply for a payment plan if you need more time to pay a parking fine. You can apply for yourself or on someone else's behalf. It takes about 5 minutes to complete this form. You will need to: tell us your name, email address and phone number enter your health care or concession card number enter your infringement notice number and vehicle registration tell us your preferred payment plan have consent from the person who received the parking fine if you’re applying on their behalf After you submit this form, we will: Send you an email confirming we have received your request. Contact you about your request if we need to. Send your request to Fines Victoria within 10 business days to be assessed. We will contact you once it has been sent. If your application is successful, Fines Victoria will send you information about how to make your payments. What happens with your information? We record your information on our customer database and make it available to relevant Council staff in line with City of Boroondara’s Privacy Statement. The contact details you provide to Council may be used by Council to contact you in relation to other Council functions and services. The payment plan is for: * Required Myself Someone else Your name * Required First name Last name Phone number * RequiredEmail * Required Your address * RequiredHiddenYour address Please select your concession type * Required Health care card Concession card Please upload a copy of your concession * RequiredA size limit of 10MB applies to each upload. Allowed file types include: jpg, jpeg, png, doc, docx, pdf. Drop files here or Select files Accepted file types: jpg, jpeg, png, doc, docx, pdf, Max. file size: 10 MB, Max. files: 1. Maximum file size - 10 mega bytes. Your name * Required First name Last name Phone number * RequiredEmail * Required Your address * RequiredHiddenYour addess Other person's details * RequiredEnter the details of the person you're applying for. First name Last name Phone number * RequiredEmail * Required Address * RequiredHiddenAddress Please select concession type * Required Health care card Concession card Please upload a copy of your concession * RequiredA size limit of 10MB applies to each upload. Allowed file types include: jpg, jpeg, png, doc, docx, pdf. Drop files here or Select files Accepted file types: jpg, jpeg, png, doc, docx, pdf, Max. file size: 10 MB, Max. files: 1. Maximum file size - 10 mega bytes. Consent * Required I have obtained consent from the person who received the parking fine to apply on their behalf. Add fines to the payment plan * RequiredEnter your 8 digit infringement notice number and vehicle registration number. If you want to add more than one fine, please click on the plus icon next to vehicle registration number. Infringement numberVehicle registration number What is your preferred payment plan?Payment amount * RequiredPlease enter a number greater than or equal to 1.Payment frequency * RequiredWeeklyFortnightlyMonthly Please review your information. If you notice errors please use the numbered page navigation or the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields:exclude[36,37,45,46,50,51]}NameThis field is for validation purposes and should be left unchanged.
