Request For Screening - London ca - Fill and Sign 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information. Enter your full name, home telephone number, address, city, province, postal code, and email address. Fields marked with an asterisk (*) are mandatory.
3. Provide details regarding the penalty notice. Fill in the offence date, plate number, penalty number, location of the penalty occurrence, and offence section number.
4. Select your preferred method of screening by checking one of the options: In-Person Screening, Phone, or Written Screening. If you choose In-Person Screening, indicate your preferred appointment time from the provided slots.
5. In the 'Reason for Screening' section, provide a detailed explanation for your request. Attach any supporting documents if necessary.
6. Review all entered information for accuracy before signing at the bottom of the form. Ensure you understand the conditions stated.
7. Submit your completed form via mail, email, fax, or in person as per the instructions provided.

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