Appeal · Custom Portal

Title

First Name

Surname

Contact Number

Email Address

Re enter your email

Portal User

Is Document Attached

CCAS Uploaded Files

Uploaded Files Count

Address Line 1

Address Line 2

Address Line 3

Address Country

Address Town/City

Address County

Address Eir Code/Postal Code

Registration Number (of the clamped/ relocated vehicle):

Date of Enforcement/Date of Clamping Notice:

Location where vehicle was parked

Name of Parking Controller (this is the company which clamped or relocated your vehicle)

Clamping Notice/ Enforcement Notice/ Immobilisation Number:

Amount of Clamp Release/ Relocation fee

Was the vehicle relocated (moved to another location by the parking controller)

NoYes

Relocated To

Alleged Offence/Contravention as stated on the Clamping Notice

Grounds of Appeal

Date of ‘Letter of Determination received from Parking Controller after first-stage appeal:

Date of receipt by you of the ‘Letter of Determination’ from the Parking Controller

Would you like to correspond with the National Transport Authority regarding your appeal via e-mail

NoYes

Case Type

appelant portal url

Case Status

pcportalurl

Date Received

Appeal Details (please set out clearly and concisely the reason(s) for your appeal)

Attach a file

Second-Stage Clamping Appeal Form