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Applicants are responsible for the completion of and accuracy of the information provided on this form.
The registered owner of the vehicle or the person named in the Penalty Notice is the ONLY PERSON who can request a Screening of the Penalty Notice by a Screening Officer by submitting the Request for Screening form.
This form may contain personal information as defined under the Municipal Freedom of Information and Protection of Privacy Act. This information is collected under the legal authority of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used and maintained by the City of Oshawa for the purpose of administering the City’s Administrative Penalty process. Questions regarding this collection may be directed to the City’s Information Access and Privacy Officer, City of Oshawa, 50 Centre Street South, Oshawa, Ontario, L1H 3Z7, 905-436-3311.
Please provide the information found on the Penalty Notice.
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