Dispute a Bylaw Ticket: District of Sicamous

Municipal Ticket Notice of Dispute

Please note that dispute notices must be received within 14 days of date of violation.

Freedom of Information Collection Notice

Personal information on this form is collected under the authority of the Freedom of Information & Protection of Privacy Act (the Act) for administrative purposes of the District of Sicamous. Personal information is protected from unauthorized use and disclosure under the Act and may only be used and disclosed as provided by the Act. Questions about the collection of personal information can be directed to the chief administrative officer or freedom of information coordinator, District of Sicamous, PO Box 219, 446 Main Street, Sicamous, BC V0E 2V0, corporate@sicamous.ca, 250-836-2477. Information about the district's privacy management policy can be found here.

Ticket Number *

Date of Issue *

Full Name of Person in Receipt of Ticket *

Full Name of Registered Owner

Please only fill out this field if different from above answer.

Registered Owner Mailing Address *

Email *

Phone *

Reason for Dispute *

Attachments

If you have any attachments (i.e. pictures) to include in your dispute, please attach them here.

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Signature *

Please type your name below to indicate you have signed this Notice of Dispute.

Date Signed *

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