Violation Appeal Form PDF Details

The Toll Violation Appeal Form represents a critical pathway for Massachusetts vehicle owners to challenge toll violation notices attributed to their registration. Issued by the E-ZPass Massachusetts Violation Processing Center, this form allows individuals to formally appeal against toll violations under specific regulations outlined in the Massachusetts Code of Regulations 730 CMR 7.04. It is imperative for appeals to be submitted in writing and received by the designated due date, as late submissions will not be entertained. This stringent requirement underscores the importance of timely action by the vehicle owners to either avoid or reduce potential fines associated with toll violations. The form caters exclusively to violations linked to a particular number, necessitating accurate completion of all required fields by the appellant, including personal information and specifics about the violation. Moreover, it delineates the appeal process for both Massachusetts-based E-ZPass account holders and those with accounts outside of Massachusetts, each with its own set of prerequisites for a successful appeal. Also noteworthy is the clear stipulation that appeals must be conducted through written communication, explicitly stating that appeals via telephone or email are not permissible. This process not only seeks to ensure the efficiency and fairness of toll violation disputes but also aims to clarify the rights of vehicle owners to seek further judicial review if necessary. Consequently, this form serves as an essential tool for individuals looking to contest toll violations, emphasizing the importance of adherence to procedural requirements for a favorable outcome.

QuestionAnswer
Form NameEZDriveMA Appeal Form, MassDOT Pay By Plate MA
Form Length1 page
Fillable?Yes
Fillable fields45
Avg. time to fill out30 sec
Other namesappeal form for malden ma parking ticket 02148, pay by plate ma invoice, dispute toll violation appeal letter sample, pay by plate ma

How to Fill Out Appeal Form

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

Appeal Form example filled out, example: an E-ZPass MA account holder appeals an invoice
Dana Sample appeals a Pay by Plate toll invoice using this form. She holds an E-ZPass MA account, so the Other Appeal Reason box stays empty. The picture shows the filled form; all its values are invented. Her account has a positive balance. She signs 15 days after the invoice date, inside the 120 days.

How to fill out Appeal Form, box by box

Your name and address

Appeal Form example filled out, your name and address

Enter your Name, Address, Address, con't and City, State, Zip Code.

The invoice

Appeal Form example filled out, the invoice

Enter the Invoice Date, License Plate, License Plate State and Invoice Number.

1) E-ZPass Customers

Appeal Form example filled out, 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

Appeal Form example filled out, 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.

Signing the form

Appeal Form example filled out, signing the form

Fill in the Signature, Print Name, Contact Phone Number and Date.

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).

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