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Request for Extension of Time for an Appeal

Pursuant to Sections 13 and 14, of By-law 20-073, as amended, of the City of Peterborough.

Instructions for Person completing this form

All the particulars upon which this appeal will be determined were submitted to the Screening Officer. There is no mechanism to submit new evidence on an appeal. 

Please review By-law 20-073 and pay particular attention to Sections 13 and 14. The Request for Extension of Time for an Appeal must be filed before 4:30 p.m. on the 42nd day after the Screening Decision Date by the registered ownr of the motor vehicle to which the Penalty Notice applies.

If you do not attend and remain at the Hearing at the scheduled time or pay the amount shown on the Penalty Notice, an administrative fee of $100 will be added to the amount of the Penalty Notice. 

If you have any problems completing this form, please email 

Please double-check all information, including your contact information, to make sure that it is accurate and complete. 


If you received a Screening Decision from an in-person or electronic Screening, but you:

  1. did not attend the Screening; or
  2. failed to remain at your Screening,

then that Screening Decision is final and may not be appealed.


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