Adjudication Request Form Ticket Number: Your ticket number starts with a B or M. Contact Information Name Company Email Phone Address City/Town State/Province ZIP/Postal Code Please state the reason(s) you wish to dispute your ticket: Optional: Upload any supporting information or photos One file only.64 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.*A $25 fee is added to the full penalty if an adjudicator finds that the contravention did occur* PENALTIES ARE PROVIDED FOR BY BYLAW 7009, 2011 CAPTCHA
