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Infringement Review Request

Forms

Required fields are marked with an asterisk (*).
Details Of Infringement
Type Of Infringement
Personal Details
Address
Reason For Your Request
There are limited circumstances where we will consider reducing or withdrawing an infringement. Select an option that applies to your situation. *
2000 Character Max or  say refer to letter and upload attachment in next section
Supporting Documentation
If cannot fit in previous section or wish to upload a document
Photos, Proof of registration, witness statements etc
If the General Manager or delegate refuses your application:
Please select one of the options below

Declaration
I agree that: *
I agree that: *

Personal Information Protection Statement

The personal information that Council collects from you is deemed personal information for the purposes of the Personal Information Protection Act 2004. The intended recipients of personal information collected by Latrobe Council may be:

* Officers within Latrobe Council

* Data service providers engaged by Council from time to time

The supply of the information by you is voluntary. If you cannot provide or do not wish to provide the information sought, Latrobe Council may be unable to process your application or request. Council is collecting this personal information from you for the purposes of managing, assessing, advising upon and determining the relevant application. You may make an application to access or to amend your personal information held by Council. Please direct any enquiries regarding your personal information in writing to: General Manager, Latrobe Council, PO Box 63, Latrobe, TAS 7307.