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Specimen examples of a statutory declaration are available via the examiner toolkit 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your full name and address, including postcode, in BLOCK CAPITALS and black ink as specified.
  3. Enter the Penalty Charge Number and Vehicle Registration Number accurately to ensure proper identification of your case.
  4. In the section for reasons, clearly state why you are filing the Statutory Declaration out of time. Avoid discussing your appeal against the original penalty charge here.
  5. Sign and date the declaration at the designated areas. Ensure that you declare it before a Commissioner for Oaths or Justice of the Peace.
  6. Review all entries for accuracy before submitting. Remember, any amendments will require re-witnessing.

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