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Moreland city council nomination form

Nomination Statement PDF 740Kb - Moreland City Council 2026

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The document is an 'Operator Owner Onus Form' related to the Road Safety Act 1986, allowing individuals or companies to nominate the actual driver of a vehicle at the time of an alleged offence or to apply for court action. It outlines the process for completing a Nomination Statement or Application for Action by a Court, including necessary personal and vehicle information, and emphasizes the importance of providing accurate details to avoid liability. The form also includes a privacy statement regarding the handling of personal information.

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Click ‘Get Form’ to open the Nomination Statement PDF in our editor.
Begin by entering the infringement notice number in the designated box at the top of the form.
Complete Part A if you were not in charge of the vehicle. Fill in your name, address, and contact details as required.
If applicable, provide details of the actual driver or indicate if you do not know their identity. Ensure to include any relevant dates and information about vehicle ownership.
If you prefer court action, complete Part B by signing and dating this section. Make sure to provide a contact number for follow-up.
Review all entered information for accuracy before submitting. Once completed, return the document to Urban Safety at Moreland City Council.

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2020	4.7 Satisfied (50 Votes)
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