Infringement nomination statement

If you have received a penalty infringement for a vehicle you no longer own, are no longer in possession of, or you were not the driver a the time, you can nominate the correct person using this form. 

How to apply

Email

Step 1.Complete an Infringement Nomination Statement

Download the Infringement Nomination Statement from this page and complete all sections.

Step 2.Submit your statement

Submit your statement via email to info@moorabool.vic.gov.au

In person

Step 1.Complete an Infringement Nomination Statement

Download the Infringement Nomination Statement from this page and complete all sections.

Step 2.Submit your statement

Submit your nomination statement in person at any of the following locations:

Ballan Office 
15 Stead Street, Ballan
Open: Monday-Friday 8.30am-5pm

Darley Civic and Community Hub 
182 Halletts Way, Darley
Open: Monday to Friday 8.30am-5pm  

Lerderderg Library 
215 Main Street, Bacchus Marsh
Open: Monday to Friday 8.30am-5pm
           Saturday 9am-2pm

Post

Step 1.Complete an Infringement Nomination Statement

Download the Infringement Nomination Statement from this page and complete all sections.

Step 2.Submit your statement

Mail your completed statement to: PO Box 18, Ballan VIC 3342

What happens next?

Once your nomination statement is received our Community Safety team will ensure all information required has been included. To ensure your application is processed as quickly as possible, make sure you supply all information requested.

The Community Safety team will process the nomination statement, the original infringement will be withdrawn, and a new infringement will be issued to the nominated person. 

You will be advised in writing (email or post) once the process is complete.