Appeal Form at a glance
What it is: Appeal Form of the EZDriveMA Customer Service Center.
Who signs: In accordance with 700 CMR 7.05(5)(b) and 700 CMR 11.06(5)(b), the registered owner or responsible party, where applicable, may, without waiving the right to a hearing before a Clerk as provided by 700 CMR 7.05(5)(c) and 700 CMR 11.06(5)(c), and also without waiving judicial review as provided by M.G.L. c. 30A, § 14, appeal the assessment of a toll, fine, fee or other penalty and receive a review and disposition from a Clerk by mail. This form must be fully completed and signed for this appeal to be considered.
A filled-in Appeal Form example: an E-ZPass MA account holder appeals an invoice

How to fill out Appeal Form, box by box
1) E-ZPass Customers

E-ZPass Customers, Step 1: Verify that your E-ZPass account has a positive balance. Step 2: Verify that your correct license plate number, state and plate type are listed on your E-ZPass account.
If you are an E-ZPass MA account holder, provide the E-ZPass MA Account Number and the E-ZPass MA Transponder Number.
If your appeal is accepted and you have a valid E-ZPass MA account with sufficient funds, your E-ZPass MA account will be charged all applicable Pay by Plate MA tolls and fees.
If you are an E-ZPass account holder outside of Massachusetts, mail a copy of your current E-ZPass statement, which must include your name, address, transponder number, and vehicle plate information.
Mail or fax this signed form

Mail or fax this signed form and required supporting documentation to: Commonwealth of Massachusetts EZDriveMA Customer Service Center P.O. Box 8007 Auburn, MA 01501-8007, Fax: 508-786-5222.
Written appeals submitted by mail must be received by MassDOT within 120 days of the date the charge first appears on the invoice or notice.
The Clerk or other MassDOT designee shall, within 60 days of receipt of such material, review the material and dismiss or uphold the issuance of the notice and notify the registered owner or appellant of the disposition of the appeal in writing.
More rules for Appeal Form
The appeal by mail must comply with the provisions of 700 CMR 7.05(5)(b) and 700 CMR 11.06(5)(b).
If your situation is different
2) Other Appeal Reason
For Other Appeal Reason, provide a written statement explaining the basis of your appeal, along with any supporting documentation.
Sources
[1] Appeal Form, EZDriveMA Customer Service Center, MassDOT (the Official source link on this page).



