QUEEN ELIZABETH II MEDICAL CENTRE
Infringement Appeal Form
If you have any queries or require any further information regarding the completion of this application form, please contact 9346
1787/2488. Once completed please forward to The Parking Branch, R Block, 2nd Floor, QEII Medical Centre, Nedlands, WA 6009.
Information for appellants

Persons who believe they have unjustly received a parking infringement notice have the right to appeal. The appeal must be
submitted in writing and will not place the regular infringement process, including the submission of a ticket to the Fines
Enforcement Registry, on hold.

No member of the QEII Parking Branch has the ability to overturn an infringement notice.

Responses to appealed tickets will be sent to the postal address provided on this form approximately two weeks after
submission.

All appeals will be reviewed objectively by the QEII appeals committee but the following reasons are generally not accepted
o
The driver did not realise the time.
o
The driver’s appointment ran over time or was delayed. The majority of visitor bays on the QEII Medical Centre
site are boom gate controlled and require payment before exiting. It is recommended visitors and patients who are
uncertain of the length of their visit utilise these bays.
o
The permit or ticket was blown by the wind/accidently placed upside down.
o
The driver made the assumption that payment was not required based on allowances from other hospital sites and
councils.
o
The signage was confusing.
o
The driver did not see the sign.

The QEII appeals committee will consider all the evidence, information and recommendations made by parking staff when
making their decisions.
PLEASE COMPLETE THIS FORM USING CAPITAL LETTERS.
SHOULD BE MARKED WITH AN X
Title
Mr
Mrs
Ms
Dr
ALL SECTIONS SHOULD BE COMPLETED.
Prof
Other (please specify)
First Name
Surname
Contact Number
Postal Address:
Infringement
Number:
Vehicle Registration
Infringement Date:
[DDMMYYYY]
Reason
for
Appeal:
Appellant’s signature
Date
TICKBOXES
FOR OFFICE USE ONLY
Parking Branch
Received:
Parking Supervisor
Received:
Parking Manager
Received:
Appeals Committee
Received:
CLO Initial:
Initial:
Initial:
Initial:
PARKING APPEALS COMMITTEE
Approved
Not approved
Date
Comments
Staff Member:
YES
NO
Permit Number
Repeat Offender:
YES
NO
Number of Infringements