Instructions for Person completing this form
In Section 12 the “Person who is given the Penalty Notice”, means the registered owner(s) of the motor vehicle.
Please review By-law 20-073 and pay particular attention to Section 13.
If you do not attend and remain at the Screening at the scheduled time or pay the amount shown on the Penalty Notice, an administrative fee of $50 will be added to the amount of the Penalty Notice.
Please double-check all information, including your contact information, to make sure that it is accurate and complete. City Hall Staff will not provide assistance to complete this form.
Note:
The Request for Screening must be filed before 4:30 p.m. on the 21st day after the Penalty Notice Date by the registered owner of the motor vehicle to which this Penalty Notice applies. Only one Penalty Notice Number can be included on each Request for Screening. If the Person who was given a Penalty Notice has a valid reason for missing that deadline, then the Person can complete the form called Request for Extension of Time for a Screening, and the Screening Officer will review your reason(s) and grant the extension or not.
If the Penalty Notice Date was more than 21 days before today’s date, you must complete the form entitled Request for Extension of Time for a Screening. If you complete the wrong form, the Administrative Penalty will be deemed to be affirmed.