If you have received a parking or moving violation, you can appeal the ticket by completing and submitting the Violation Appeal Form. The form must be submitted within 21 days of the date of the violation. You can provide information to support your appeal, such as photos or video evidence. Your appeal will be reviewed by a hearing officer, who will make a decision based on the evidence provided. If you are not satisfied with the decision, you can then pursue an administrative review.
This general guide will let you ascertain how long it will take you to fill out violation appeal form, the number of pages it has, and a few additional unique details about the form.
Question | Answer |
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Form Name | Violation Appeal Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | pay by plate ma invoice, massachusetts appeal form, dispute toll violation appeal letter sample, ez pass appeal form |
(WEB COPY)
Toll Violation Appeal Form for Massachusetts Registration Only
PO Box 8001, Auburn, Massachusetts
The Massachusetts Registry of Motor Vehicles has identified you as the registered owner of the vehicle and responsible party for the attached Toll Violation Notice. You may appeal this violation under the provisions of Massachusetts Code of Regulations 730 CMR 7.04. You must appeal the violation in writing, by submitting this form to the Violation Processing Center (VPC) by the Due Date shown below. Late appeals will not be accepted. This Toll Violation
Appeal applies only to the violation number you indicated below. (Required Fields*)
*Name: |
*Violation Number: |
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*Address: |
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*Issuance Date: |
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*City, State, Zip: |
*Registration No.:_______________________________ |
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Please check one to indicate requested appeal method: |
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Written Appeal: Fill out information below and mail this form to the VPC
Request for Hearing (in Auburn, Massachusetts): Mail this form to the VPC
______ Check here ONLY if this is your FIRST
IMPORTANT NOTE: TELEPHONE AND EMAIL APPEALS CANNOT BE ACCEPTED.
Submission of this written appeal does not waive your right to a hearing with a MassDOT Examiner or subsequent judicial review under Massachusetts law (M.G.L. c. 30A). Within sixty (60) days of receipt of your appeal you will receive a disposition report from the VPC either dismissing or upholding the violation. For your convenience, a list of possible valid appeal circumstances is provided below.
1.) CHECK HERE _____IF YOUR
If you have not already contacted an
You are then encouraged to appeal this violation by filling out the information below and mailing this Appeal Form to the VPC. If your appeal is received by the due date shown above and accepted, you acknowledge (by signing below) that the $50.00 violation fine will be waived, and that the missed toll amount and a $5.00 violation administrative fee will be charged to your
2.) CHECK HERE _____IF YOUR
If you have not already contacted an
IMPORTANT NOTE TO
Please sign below. Your signature is required for appeal to be considered. Appeals received after the due date will not be processed.
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_______________________ __________________ |
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*Signature |
*Print Name |
*Phone Number |
*Date |
(WEB COPY)
Toll Violation Appeal Form for Massachusetts Registration Only
PO Box 8001, Auburn, Massachusetts
The Massachusetts Registry of Motor Vehicles has identified you as the registered owner of the vehicle and responsible party for the attached Toll Violation Notice. You may appeal this violation under the provisions of Massachusetts Code of Regulations 730 CMR 7.04. You must appeal the violation in writing, by submitting this form to the Violation Processing Center (VPC) by the Due Date shown below. Late appeals will not be accepted. This Toll Violation
Appeal applies only to the violation number you indicated below only. (Required Fields*)
*Name: |
*Violation Number: |
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*Address: |
*Issuance Date: |
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*City, State, Zip: |
*Registration: ____________________________________ |
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Check here ONLY if this is your FIRST
_____ Check here for Other Circumstances
If you elect to contest your liability on the basis of Other Circumstances, please prepare a written statement (using the space provided below) explaining why your vehicle was utilizing an
Ifyou need additional space, or are including additional documentation with your appeal, please include your license plate number and violation number (shown above) on all documents and/or other submittals. Please sign below. Your signature is required for an appeal to be considered. Appeals received after the due date will not be processed.
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_________________________ |
______________________ _________________ |
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*Signature |
*Print Name |
*Phone Number |
*Date |
Area below for Leasing and Rental Agencies ONLY
The Undersigned registered owner certifies that, on the date of the violation, the vehicle bearing the license plate number on the violation notice was a: Leased or Rented Vehicle. For this appeal to be considered, all lessee/renter information is required by M.G.L. Chapter 90, Section 20E and must be provided within
IMPORTANT: The leasing/rental company must provide this information for the appeal to be accepted. The violation notice may NOT be forwarded to the lessee/renter for payment or appeal.
*NAME:
*ADDRESS:
*CITY: |
*STATE: |
*ZIP CODE: |
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Please sign below. Your signature is required for an appeal to be considered. Appeals received after the due date will not be processed.
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________________________ _________________ |
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*Signature |
*Print Name |
*Phone Number |
*Date |