Challenge an unpaid penalty charge notice

Published date21 March 2018
Subject MatterTraffic Enforcement Centre forms
Statutory Declaration – unpaid penalty charge

Statutory Declaration – unpaid penalty charge Form PE3

Traffic Enforcement Centre

County Court Business Centre

St Katharine’s House

21-27 St Katharine’s Street

Northampton, NN1 2LH

Penalty Charge Number

Vehicle Registration Number

Applicant

Location of Contravention

Date of Contravention

Give full details and tick the box which applies. If your penalty charge relates to a London Borough Parking contravention you must only tick one box. You must ensure that all details above are correctly entered from the Order for Recovery of unpaid penalty charge.

You must then have the form sworn before a Commissioner for Oaths (e.g. a Solicitor), a Justice of the Peace (at any Magistrates Court) or an officer of your local county court before sending the declaration to the Traffic Enforcement Centre at the above address. You may have to pay a fee.

I, (full name and address of the respondent including postcode), please complete this form in BLOCK CAPITALS and in black ink.

The above named respondent, declare that: (tick the box, which applies)

I did not receive the:

Notice to Owner (Parking contravention) or

Enforcement Notice (Bus lane contravention) or

Penalty Charge Notice (Moving Traffic contravention or Congestion Charging contravention)

I made representations about the penalty charge to the local authority concerned within 28 days of the service of the Notice to Owner/Enforcement Notice/Penalty Charge Notice, but did not receive a rejection notice.

I appealed to the Parking/Traffic Adjudicator against the local authority’s decision to reject my representation, within 28 days of service of the rejection notice, but have had no response to my appeal.

My reasons are (give full reasons)

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