Page Contents Main Content This form will take you approximately 10 - 15 minutes to complete.Please fill in all required fields marked with * Applicant details Family Name* Given Name(s)* Date of Birth* Email* Phone Number* Street Address* Suburb* State* - Select -QLDNSWACTVICWASANT Postal Code* Application Details Occurrence number (QP No.)?* Enter the 10 digits after "QP" in your occurrence number Vehicle barcode?* Enter the last 6 digits of the vehicle barcode. Name of deciding officer* Station or location of deciding officer* What is the issue date on your Information Notice??* Note: this is the issue date located at the top of your Information Notice. You cannot apply for an Internal Review on the same day you received an Information Notice.The first day you can apply for an Internal Review is tomorrow. Do you have an approved extension of time to apply for an internal review? Yes No You can not apply for an Internal Review because the review period has ended.An Internal Review, or an extension for an Internal Review, must be made within 28 days starting from the day after you were given an Information Notice or found out that the release of your vehicle (prohibited bike) had been refused. For more information, go to Internal Review FAQs. Upload a copy of your information notice* Browse my computer One file only.10 MB limit.Allowed file types: PDF, Word documents (DOC, DOCX, ODT), PowerPoint presentations (PPT, PPTX, ODP), Excel spreadsheets (XLS, XLSX, ODS), Plain text file (TXT) or Rich text format (RTF). Details of review Important:It's important that you provide enough information so that the police officer reviewing your application can make a decision.Please clearly outline why you believe the original decision to refuse the release of your vehicle (prohibited bike) should be reviewed. This may include:That your vehicle is registered and can be lawfully used in public places, for example on a roadThat your vehicle is not a prohibited bike and is a compliant e-mobility device, for example an EPAC or PMDThat you did not ride or did not authorise the riding of the vehicle in a public placeYou believe that the vehicle was not ridden in a public placeOther reasons (please outline below)Please attach any additional supporting documents. Outline why the original decision to refuse the release of your vehicle (prohibited bike) should be reviewed* Upload any supporting documents (optional) Browse my computer Maximum 3 files.10 MB limit.Allowed file types: PDF, Word documents (DOC, DOCX, ODT), PowerPoint presentations (PPT, PPTX, ODP), Excel spreadsheets (XLS, XLSX, ODS), Plain text file (TXT) or Rich text format (RTF). Declaration Warning: Giving false or misleading information or documents is an offence. I, declare that:The information provided in this form is complete and correct I have read and understood the application form I have read and understand the Online Privacy Notice I declare that the information that I have provided in this form is true and correct to the best of my knowledge and I acknowledge I am liable for prosecution if the information given is false or misleading. Location of declaration* - Select -QueenslandOther places CAPTCHA This question is for testing whether you are a human visitor and to prevent automated spam submissions. Note: A receipt of this application will be sent to the email address you provided above. Sidebar Content Close tray Contact details Quick links Share page Share this page
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