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Click ‘Get Form’ to open the FCN Cancellation Request Form in the editor.
In Section A, enter your personal details as they appear on the Fixed Charge Notice, including your Name, Address, FCN Reference Number, Vehicle Registration Number, and Driving Licence/Permit Number. Phone number and email are optional.
Proceed to Section B. Indicate if you have previously applied for a cancellation by selecting 'Yes' or 'No'. If 'Yes', provide the necessary details. Then, choose a cancellation request reason from the options provided.
If applying under Statutory Exemption for Emergency Vehicles, complete Section C by certifying that the vehicle was used by an authorized member of an emergency service and did not endanger road safety.
In Section D, confirm that all information is accurate and attach any required supporting documentation before signing and dating the form.
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united states securities and exchange commission - form 10-k
Oct 3, 2019 All statements other than statements of historical facts contained in this Form 10-K may be forward-looking statements. Statements regarding ourRead more
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