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Reference code
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{{data.isCollab?\"\":\"When you saved your form you should have been provided a reference code.\"}}

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Security question
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Your answer to this question must match the information you previously provided.

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Security Question
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Please review your security question and answer. This question must be correctly answered to re-open the form.

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"mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "floatRight": false }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "text-display-custom" } ], [ { "_component": "saveComponent", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

Next steps

\n

You are required to complete these additional forms to finalize your request.

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\n
\n

Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please note that your saved form will expire on {{data.expiryDate}}.

\n
\n
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Send yourself a reminder email

\n

Enter your email address and we'll send you you instructions on how to return to your form.

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Check your email

\n\n

We've sent instructions to your email address ({{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.send_reminder_email}}) on how to return to the application when you are ready.

\n\n

If you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.

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OR

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Next steps

\n

You are required to complete these additional forms to finalize your request.

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\n
\n

Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please quote your reference code when enquiring about your submission.

\n
\n\n
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For your records

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OR

\n\n

Send yourself an email with a PDF copy of your form

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Check your email

\n\n

We've sent a copy of your submission to {{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.yourEmailAddress}}.

\n\n

If you didn't receive it or would like another copy, just select the option below.

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OR

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Phone: {{data.agencyPhone}}
\n{{data.agencyEmail}} 

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To view your traffic camera or parking infringements image, visit Access Canberra.

\n", "id": "helpInfringementImage", "insightsName": "", "jsFiles": [], "label": "To view your traffic camera or parking infringements image, visit Access Canberra.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Was the infringement issued to an individual or an organisation?", "id": "individualOrOrganisation", "insightsName": "", "jsFiles": [], "label": "Was the infringement issued to an individual or an organisation?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "IndividualOrOrganisation", "pathContext": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "arrangement": "vertical", "floatRight": false, "helpText": "", "hideLabel": false, "iconSelected": { "fileName": "radioselected.svg", "height": "", "width": "" }, "iconUnselected": { "fileName": "radiounselected.svg", "height": "", "width": "" }, "minWidth": 120, "options": [ { "label": "Individual", "value": "Individual" }, { "label": "Organisation", "value": "Organisation" } ], "selectedIconClass": "fa fa-circle", "stackThreshold": "sm", "underHelpText": "", "unselectedIconClass": "fa" }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "radio-buttons-yesno-custom" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Is the infringement in your name?", "id": "inYourName", "insightsName": "", "jsFiles": [], "label": "Is the infringement in your name?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "InYourName", "pathContext": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "arrangement": "vertical", "floatRight": false, "helpText": "", "hideLabel": false, "iconSelected": { "fileName": "radioselected.svg", "height": "", "width": "" }, "iconUnselected": { "fileName": "radiounselected.svg", "height": "", "width": "" }, "minWidth": 120, "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "selectedIconClass": "fa fa-circle", "stackThreshold": "sm", "underHelpText": "", "unselectedIconClass": "fa" }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "radio-button-group-custom" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Would you like to transfer the infringement in to your name?", "id": "transferIntoYourName", "insightsName": "", "jsFiles": [], "label": "Would you like to transfer the infringement in to your name?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "TransferIntoYourName", "pathContext": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "arrangement": "vertical", "floatRight": false, "helpText": "", "hideLabel": false, "iconSelected": { "fileName": "radioselected.svg", "height": "", "width": "" }, "iconUnselected": { "fileName": "radiounselected.svg", "height": "", "width": "" }, "minWidth": 120, "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "selectedIconClass": "fa fa-circle", "stackThreshold": "sm", "underHelpText": "", "unselectedIconClass": "fa" }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "radio-button-group-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

You cannot submit an application if the infringement is not in your name.

", "id": "helpNotInName", "insightsName": "", "jsFiles": [], "label": "You cannot submit an application if the infringement is not in your name.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "What would you like to do Blk", "id": "whatWouldYouLikeToDoBlk", "insightsName": "", "jsFiles": [], "label": "What would you like to do Blk", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "ariaHidden": false, "ariaLabel": "" }, "repeatingData": false, "rows": [ [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "", "id": "block_8", "insightsName": "", "jsFiles": [], "label": "Block", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "ariaHidden": false, "ariaLabel": "" }, "repeatingData": false, "rows": [ [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "", "id": "applicationTypeSelection", "insightsName": "", "jsFiles": [], "label": "What would you like to do?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "ApplicationTypeSelection", "pathContext": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "arrangement": "vertical", "dataPath": "data.likeToDoList", "floatRight": false, "helpText": "", "hideLabel": false, "iconSelected": { "fileName": "radioselected.svg", "height": "", "width": "" }, "iconUnselected": { "fileName": "radiounselected.svg", "height": "", "width": "" }, "labelField": "label", "minWidth": 120, "selectedIconClass": "fa fa-circle", "stackThreshold": "sm", "underHelpText": "", "unselectedIconClass": "fa", "valueField": "value" }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "data-radio-button-group-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exLayout": true, "exclude": false, "excludeRowData": false, "htmlLabel": "Like To Do List", "id": "likeToDoList", "insightsName": "", "jsFiles": [], "label": "Like To Do List", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "data-field" } ] ], "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "block" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Do you want to transfer the infringement to the responsible operator of the vehicle at the time of the offence?", "id": "transferToResponsibleOperator", "insightsName": "", "jsFiles": [], "label": "Do you want to transfer the infringement to the responsible operator of the vehicle at the time of the offence?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "TransferToResponsibleOperator", "pathContext": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "arrangement": "vertical", "floatRight": false, "helpText": "", "hideLabel": false, "iconSelected": { "fileName": "radioselected.svg", "height": "", "width": "" }, "iconUnselected": { "fileName": "radiounselected.svg", "height": "", "width": "" }, "minWidth": 120, "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "selectedIconClass": "fa fa-circle", "stackThreshold": "sm", "underHelpText": "", "unselectedIconClass": "fa" }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "radio-button-group-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

Please note if your dispute is declined and payment is chosen, the company may incur a Strike which may lead to a 6 month suspension of the vehicle registration.

", "id": "helpTextBlock_1", "insightsName": "", "jsFiles": [], "label": "Please note if your dispute is declined and payment is chosen, the company may incur a Strike which may lead to a 6 month suspension of the vehicle registration.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Which application is the request for information related to?", "id": "relatedApplicationType", "insightsName": "", "jsFiles": [], "label": "Which application is the request for information related to?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "RelatedApplicationType", "pathContext": "", "properties": { "addBlankValue": true, "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "floatRight": false, "helpText": "", "hideLabel": false, "inputMode": "text", "inputType": "text", "leftLabel": false, "maxLength": "", "nowrapLabel": false, "options": [ { "label": "Infringement Notice Management Plan", "value": "Infringement Notice Management Plan" }, { "label": "Work or Development Program", "value": "Work or Development Program" }, { "label": "Infringement Declaration", "value": "Infringement Declaration" }, { "label": "Withdrawal", "value": "Withdrawal" }, { "label": "Dispute", "value": "Dispute" }, { "label": "Waiver", "value": "Waiver" }, { "label": "Internal review", "value": "Review" } ], "placeholder": "", "preventCopyPaste": false, "sortOptions": false, "underHelpText": "" }, "repeatingData": false, "span": { "lg": 6, "md": 6, "sm": 12, "xs": 12 }, "type": "dropdown-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exLayout": true, "exclude": false, "excludeRowData": false, "htmlLabel": "Which Application List", "id": "whichApplicationList", "insightsName": "", "jsFiles": [], "label": "Which Application List", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "data-field" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

Please use the Dispute Infringement form instead.

\n", "id": "disputeRedirect", "insightsName": "", "jsFiles": [], "label": "Please use the Dispute Infringement forminstead.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

Please use the Withdraw Infringement form instead.

\n", "id": "withdrawRedirect", "insightsName": "", "jsFiles": [], "label": "Please use the Withdraw Infringement forminstead.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Are you a Centrelink pensioner concession card holder?", "id": "centrelinkPensioner", "insightsName": "", "jsFiles": [], "label": "Are you a Centrelink pensioner concession card holder?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "CentrelinkPensioner", "pathContext": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "arrangement": "vertical", "floatRight": false, "helpText": "", "hideLabel": false, "iconSelected": { "fileName": "radioselected.svg", "height": "", "width": "" }, "iconUnselected": { "fileName": "radiounselected.svg", "height": "", "width": "" }, "minWidth": 120, "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "selectedIconClass": "fa fa-circle", "stackThreshold": "sm", "underHelpText": "", "unselectedIconClass": "fa" }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "radio-buttons-yesno-custom" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Do you wish to pay by Centrepay?", "id": "payByCentrepay", "insightsName": "", "jsFiles": [], "label": "Do you wish to pay by Centrepay?", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "PayByCentrepay", "pathContext": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "arrangement": "vertical", "floatRight": false, "helpText": "", "hideLabel": false, "iconSelected": { "fileName": "radioselected.svg", "height": "", "width": "" }, "iconUnselected": { "fileName": "radiounselected.svg", "height": "", "width": "" }, "minWidth": 120, "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "selectedIconClass": "fa fa-circle", "stackThreshold": "sm", "underHelpText": "", "unselectedIconClass": "fa" }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "radio-buttons-yesno-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

Please use this Infringement Payment Plan form to set up payment by direct debit. 

\n", "id": "helpTextBlock", "insightsName": "", "jsFiles": [], "label": "Please use this Infringement Payment Plan formto set up payment by direct debit.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

Please check Ways to pay a fine (infringement) - Access Canberra for other ways to apply for an Infringement Notice Management Plan.

\n", "id": "paymentCentrepayRedirect", "insightsName": "", "jsFiles": [], "label": "Please check Ways to pay a fine (infringement) - Access Canberra for other ways to apply for an Infringement Notice Management Plan.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

For information on Work and development programs visit Access Canberra.

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All applications for withdrawal are assessed in accordance with the Road Transport (General) Withdrawal of Infringement Notices Guidelines 2012. Should your application amount to a dispute of liability it may be referred to the ACT Magistrates Court for determination

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Please use the Transfer Liability of Infringement form instead.

\n", "id": "helpTransferName", "insightsName": "", "jsFiles": [], "label": "Please use the Transfer Liability of Infringementform instead.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "help-text-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exLayout": true, "exclude": false, "excludeRowData": false, "htmlLabel": "extensionOfTimeAction", "id": "extensionOfTimeAction", "insightsName": "", "jsFiles": [], "label": "extensionOfTimeAction", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": {}, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "data-field" } ] ], "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "block" } ], [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Declaration Blk", "id": "declarationBlk", "insightsName": "", "jsFiles": [], "label": "Declaration Blk", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "ariaHidden": false, "ariaLabel": "" }, "repeatingData": false, "rows": [ [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Org Dec Blk", "id": "orgDecBlk", "insightsName": "", "jsFiles": [], "label": "Org Dec Blk", "mandatory": true, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "helpText": "", "mandatoryOption": "one", "showChildrenIndicators": true }, "repeatingData": false, "rows": [ [ { "_component": "", "clearHidden": "immediate", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "By completing this application you are acknowledging that {{data.applicationTypeDataField == 'Extension' ? 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A waiver is designed to help vulnerable people deal with the financial aspect of an infringement notice. Having granted a waiver will eliminate the financial aspect of the notice, however other penalties such as demerit points may still apply. There are several criteria that must be met with evidence in order to be eligible for a waiver.

For more information, please read the Road Transport (General) Waiver of Infringement Notice Penalties Guidelines.

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Evidence to support an application includes that the person is in receipt of a Centrelink benefit (statement from Centrelink), does not possess substantial assets, household income per fortnight is not sufficient to meet the minimum instalment management plan payment (payslips, bank statements), the person has significant and unavoidable expenses, for example, large medical bills (invoices, Medicare statements). Any amount a person is required to pay in child support (child support agency statement) should be deducted from his or her pre-tax income.

Income includes but is not limited to, wages, pensions or benefits, allowances, interest on investment or other financial support (for example, support from a family member).

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Any amount a person is required to pay in child support (child support agency statement) should be deducted from his or her pre-tax income.Income includes but is not limited to, wages, pensions or benefits, allowances, interest on investment or other financial support (for example, support from a family member).", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "floatRight": false }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "text-display-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Attach evidence of your financial circumstances", "id": "criteria1Attachment", "insightsName": "", "jsFiles": [], "label": "Attach evidence of your financial circumstances", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "Criteria1Attachment", "pathContext": "", "properties": { "allowConfirmDelete": false, "allowDownloadDisabled": true, "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Evidence of financial circumstances", "cancelUploadButtonLabel": "Cancel", "canvasHeight": 100, "canvasWidth": "", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteButtonIcon": "fa fa-times", "deleteIcon": "fa-trash", "deleteMessageTimeout": 5500, "downloadIcon": "fa-download", "dropZoneIcon": "fa fa-cloud-upload", "dropZoneIconLocation": "top", "dropZoneText": "Or drop files", "enableAutoUpload": true, "enableCanvas": false, "enableManual": false, "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "hideLabel": false, "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "maxSize": "10485760", "queueLimit": 5, "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" }, "repeatingData": false, "span": { "lg": 8, "md": 8, "sm": 8, "xs": 12 }, "type": "attachment-field-custom", "validationFnType": "attachment-field-2" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "2. Relevant circumstances that relate to the person and contribute to the person's ability to pay an infringement notice penalty", "id": "criteria2Heading", "insightsName": "", "jsFiles": [], "label": "2. Relevant circumstances that relate to the person and contribute to the persons ability to pay an infringement notice penalty", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "floatRight": false }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "text-display-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Relevant circumstances", "id": "criteria2Circumstances", "insightsName": "", "jsFiles": [], "label": "Relevant circumstances", "mandatory": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "Criteria2Circumstances", "pathContext": "", "properties": { "addBlankValue": true, "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "floatRight": false, "helpText": "", "hideLabel": false, "inputMode": "text", "inputType": "text", "leftLabel": false, "maxLength": "", "nowrapLabel": false, "options": [ { "label": "Mental illness and/or mental disorder", "value": "Mental" }, { "label": "Physical or intellectual disability", "value": "Disability" }, { "label": "Addition to drugs, alcohol or another substance", "value": "Drugs" }, { "label": "Family violence", "value": "DV" }, { "label": "Homelessness, or living in crisis, transitional or support accommodation", "value": "Homeless" } ], "placeholder": "", "preventCopyPaste": false, "sortOptions": false, "underHelpText": "" }, "repeatingData": false, "span": { "lg": 6, "md": 6, "sm": 12, "xs": 12 }, "type": "dropdown-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "Please be aware that we may forward this documentation to our Driver Licence Medical Monitoring Team. 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Evidence to support an application includes a letter or other documentation, describing the applicant’s disability, illness or condition, from one of the following:

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The letter or documentation must not be older than 6 months from the date of the application and must provide sufficient information to explain the applicant’s mental illness and/or disorder and its duration.

", "id": "mentalText", "insightsName": "", "jsFiles": [], "label": "Evidence to support an application includes a letter or other documentation, describing the applicant’s disability, illness or condition, from one of the following:\n\nThe applicant’s general practitioner, treating doctor, psychiatrist, registered psychologist or mental health nurse, or other medical practitioner involved in the healthcare of the applicant that the administering authority considers relevant.\nCentrelink, if the applicant is in receipt of a full or partial disability pension (e.g. a job capacity assessment or other report which describes the applicant’s disability or impairment).\nThe applicant’s school teacher or principal, or an employee in the Education Directorate.\nA government agency or non-government organisation with experience working with people with mental illness, intellectual disability or cognitive impairments.\nA government agency or non-government organisation with professionals qualified to make mental health assessments.\n\nThe letter or documentation must not be older than 6 months from the date of the application and must provide sufficient information to explain the applicant’s mental illness and/or disorder and its duration.", "mandatory": false, "noData": true, "offset": { "lg": 0, "md": 0, "sm": 0, "xs": 0 }, "overrideParentUsRule": false, "path": "", "pathContext": "", "properties": { "floatRight": false }, "repeatingData": false, "span": { "lg": 12, "md": 12, "sm": 12, "xs": 12 }, "type": "text-display-custom" } ], [ { "_component": "", "clearHidden": "", "entityPath": "", "exclude": false, "excludeRowData": false, "htmlLabel": "

Evidence to support an application includes a letter or other documentation, describing the applicant’s disability, disease or illness, from one of the following:

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Relevant circumstances that relate to the person and contribute to the person's ability to pay an infringement notice penalty", "label": "2. Relevant circumstances that relate to the person and contribute to the persons ability to pay an infringement notice penalty", "mandatoryMsg": "" }, "criteria2Text": { "htmlLabel": "Please be aware that we may forward this documentation to our Driver Licence Medical Monitoring Team. This may result in you having to provide a medical clearance report from a specialist confirming that you are fit to hold a driver licence in accordance with the National Fitness to Drive Standard.", "label": "Please be aware that we may forward this documentation to our Driver Licence Medical Monitoring Team. This may result in you having to provide a medical clearance report from a specialist confirming that you are fit to hold a driver licence in accordance with the National Fitness to Drive Standard.", "mandatoryMsg": "" }, "criteria3Attachment": { "htmlLabel": "If you have extenuating circumstances that prevent you from participating in a work or social development program, please attach any documentation or evidence detailing why you would not be able to complete such an arrangement", "label": "If you have extenuating circumstances that prevent you from participating in a work or social development program, please attach any documentation or evidence detailing why you would not be able to complete such an arrangement", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Extenuating circumstances", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteIcon": "fa-trash", "downloadIcon": "fa-download", "dropZoneText": "Or drop files", "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" } }, "criteria3Declaration": { "htmlLabel": "I declare that I am unable to participate in the work or social development program", "label": "I declare that I am unable to participate in the work or social development program", "mandatoryMsg": "", "properties": { "helpText": "" } }, "criteria3Heading": { "htmlLabel": "3. Unsuitability for person to discharge the infringement notice monetary penalty by completing an approved community work or social development program.", "label": "3. Unsuitability for person to discharge the infringement notice monetary penalty by completing an approved community work or social development program.", "mandatoryMsg": "" }, "customNavBar": { "htmlLabel": "", "label": "Custom NavBar", "mandatoryMsg": "", "properties": { "altLeft": "ACT Government", "altRight": "Access Canberra", "linkLeft": "https://www.accesscanberra.act.gov.au", "linkRight": "https://www.accesscanberra.act.gov.au", "titleLeft": "ACT Government", "titleRight": "Access Canberra" } }, "customNavBarSave": { "htmlLabel": "Custom Nav Bar Save", "label": "Custom Nav Bar Save", "mandatoryMsg": "", "properties": { "altLeft": "ACT Government", "altRight": "Access Canberra", "linkLeft": "https://www.accesscanberra.act.gov.au", "linkRight": "https://www.accesscanberra.act.gov.au", "titleLeft": "ACT Government", "titleRight": "Access Canberra" } }, "customNavBarSubmit": { "htmlLabel": "Custom Nav Bar Submit", "label": "Custom Nav Bar Submit", "mandatoryMsg": "", "properties": { "altLeft": "ACT Government", "altRight": "Access Canberra", "linkLeft": "https://www.accesscanberra.act.gov.au", "linkRight": "https://www.accesscanberra.act.gov.au", "titleLeft": "ACT Government", "titleRight": "Access Canberra" } }, "cxValidate": { "htmlLabel": "Cx Validate", "label": "Cx Validate", "mandatoryMsg": "" }, "dVText": { "htmlLabel": "

Documentation that can be used to identify the applicant as having been subjected to family violence includes one or more of the following documents:

\n", "label": "Documentation that can be used to identify the applicant as having been subjected to family violence includes one or more of the following documents:\n\nEmergency protection order\nFamily / Domestic violence order\nPersonal protection order\nTranscript of hearing or orders made after a hearing\nRecord of court proceedings\nPolice report\nLetter from a counsellor\nLetter or record of sessions from Victims Services\nLetter or record of session from Domestic Violence Crisis Service\nLetter from a lawyer who has been consulted regarding safe exit strategy\nLetter from a refuge", "mandatoryMsg": "" }, "dataField": { "htmlLabel": "Date read only", "label": "Date read only", "mandatoryMsg": "" }, "dateAndTime": { "htmlLabel": "Date and time", "label": "Date and time", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "dateOfBirth": { "htmlLabel": "Date of birth", "label": "Date 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"alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "date_7": { "htmlLabel": "ReceiptDate", "label": "ReceiptDate", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "date_8": { "htmlLabel": "ReceiptDate", "label": "ReceiptDate", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "dayDropdown_4": { "htmlLabel": "Day", "label": "Day", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "DD", "underHelpText": "" } }, "dayDropdown_5": { "htmlLabel": "Day", "label": "Day", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "DD", "underHelpText": "" } }, "dayDropdown_6": { "htmlLabel": "Day", "label": "Day", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "DD", "underHelpText": "" } }, "dayDropdown_7": { "htmlLabel": "Day", "label": "Day", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "DD", "underHelpText": "" } }, "dayGenerate": { "htmlLabel": "DayGenerate", "label": "DayGenerate", "mandatoryMsg": "" }, "dayGenerate_1": { "htmlLabel": "DayGenerate", "label": "DayGenerate", "mandatoryMsg": "" }, "dayGenerate_2": { "htmlLabel": "DayGenerate", "label": "DayGenerate", "mandatoryMsg": "" }, "dayGenerate_3": { "htmlLabel": "DayGenerate", "label": "DayGenerate", "mandatoryMsg": "" }, "days": { "htmlLabel": "Days", "label": "Days", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "days_1": { "htmlLabel": "Days", "label": "Days", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "days_2": { "htmlLabel": "Days", "label": "Days", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "days_3": { "htmlLabel": "Days", "label": "Days", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "decFalseStatement": { "htmlLabel": "Dec False Statement", "label": "Dec False Statement", "mandatoryMsg": "I understand that under Part 3.4 of the Criminal Code 2002, it is an offence to make a false or misleading statement [...] is required", "properties": { "helpText": "" } }, "decIllegal": { "htmlLabel": "Dec Illegal", "label": "Dec Illegal", "mandatoryMsg": "I declare that at the time of the offence as stated in infringement number [...] is required", "properties": { "helpText": "" } }, "decSold": { "htmlLabel": "Dec Sold", "label": "Dec Sold", "mandatoryMsg": "I declare that at the time of the offence as stated in infringement number [...] is required", "properties": { "helpText": "" } }, "declaration": { "htmlLabel": "Declaration", "label": "Declaration", "mandatoryMsg": "", "properties": { "infoText": "" } }, "declarationBlk": { "htmlLabel": "Declaration Blk", "label": "Declaration Blk", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "declarationCircumstances": { "htmlLabel": "Which of the following best fits your circumstances?", "label": "Which of the following best fits your circumstances?", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "I sold my vehicle", "value": "Sold" }, { "label": "I know who was driving the vehicle", "value": "Known" }, { "label": "The vehicle was used illegally by someone else", "value": "Illegal" }, { "label": "I am unable to find out the identity of the person who was in possession or control of the vehicle at the time of the offence", "value": "Unknown" } ], "placeholder": "", "underHelpText": "" } }, "deleteSmall": { "htmlLabel": "Delete {{Form.getItemProperty(\"data.peopleWithAccess\",\"itemLabel\").toLowerCase()}}", "label": "Delete", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "delete_1": { "htmlLabel": "Delete {{Form.getItemProperty(\"data.peopleWithAccess\",\"itemLabel\").toLowerCase()}}", "label": "Delete", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "deleteblk": { "htmlLabel": "DeleteBlk", "label": "DeleteBlk", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "delivery": { "htmlLabel": "Delivery", "label": "Delivery", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "deliveryrepeat": { "htmlLabel": "DeliveryRepeat", "label": "DeliveryRepeat", "mandatoryMsg": "", "properties": { "addItemLabel": "Add {{item.properties.itemLabel}}", "itemLabel": "Item" } }, "description": { "htmlLabel": "Description", "label": "Description", "mandatoryMsg": "" }, "dfAmPm": { "htmlLabel": "AM/PM Calc", "label": "AM/PM Calc", "mandatoryMsg": "" }, "dfAmPm_2": { "htmlLabel": "AM/PM Calc", "label": "AM/PM Calc", "mandatoryMsg": "" }, "dialogContentCustom": { "htmlLabel": "About this form", "label": "About this form", "mandatoryMsg": "" }, "disabilityText": { "htmlLabel": "

Evidence to support an application includes a letter or other documentation, describing the applicant’s disability, disease or illness, from one of the following:

\n\n

The letter or documentation must not be older than 6 months from the date of the application and must provide sufficient information to explain the applicant’s disability, disease or illness and its duration.

", "label": "Evidence to support an application includes a letter or other documentation, describing the applicant’s disability, disease or illness, from one of the following:\n\nThe applicant’s general practitioner, treating doctor, psychologist, speech pathologist or other medical practitioner involved in the healthcare of the applicant that the administering authority considers relevant.\nCentrelink, if the applicant is in receipt of a full or partial disability pension (e.g. a job capacity assessment or other report which described the applicant’s disability or impairment).\nA government agency or non-government organisation with experience working with people with sensory, cognitive, physical or intellectual disabilities.\n\nThe letter or documentation must not be older than 6 months from the date of the application and must provide sufficient information to explain the applicant’s disability, disease or illness and its duration.", "mandatoryMsg": "" }, "disputeDeclaration": { "htmlLabel": "I understand, that if this application to dispute liability is unsuccessful, it will be referred the ACT Magistrates Court for determination.", "label": "I understand, that if this application to dispute liability is unsuccessful, it will be referred the ACT Magistrates Court for determination.", "mandatoryMsg": "", "properties": { "helpText": "" } }, "disputeGrounds": { "htmlLabel": "I wish to dispute liability for the above infringement notice on the following grounds", "label": "I wish to dispute liability for the above infringement notice on the following grounds", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "disputeRedirect": { "htmlLabel": "

Please use the Dispute Infringement form instead.

\n", "label": "Please use the Dispute Infringement forminstead.", "mandatoryMsg": "" }, "downloadEmailBlock": { "htmlLabel": "Download Email Block", "label": "Download Email Block", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "downloadPdf": { "htmlLabel": "Download a PDF copy of your form", "label": "Download a PDF copy of your form", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "downloadPdf_1": { "htmlLabel": "Download a PDF copy of your form", "label": "Download a PDF copy of your form", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "downloadPdf_3": { "htmlLabel": "Download a PDF copy of your form", "label": "Download a PDF copy of your form", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "drivingRecord": { "htmlLabel": "Attach evidence to show your good driving record", "label": "Attach evidence to show your good driving record", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Good driving record", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteIcon": "fa-trash", "downloadIcon": "fa-download", "dropZoneText": "Or drop files", "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" } }, "drugsText": { "htmlLabel": "

Evidence to support an application includes a letter or other documentation from one of the following:

\n\n

The letter or documentation must not be older than 6 months from the date of the application and must provide sufficient information to explain the nature, severity and effects of the addiction and how long the applicant has had the addiction.

", "label": "Evidence to support an application includes a letter or other documentation from one of the following:\n\nThe applicant’s treating doctor, psychiatrist, registered psychologist, nurse working in the field of drug and alcohol addiction or social worker or other medical practitioner involved in the healthcare of the applicant that the administering authority considers relevant.\nThe applicant’s drug and alcohol case worker or counsellor.\nThe applicant’s youth service case worker or counsellor.\nThe applicant’s residential (or outpatient) rehabilitation service provider.\nA government or non-government organisation with expertise in working with people with serious addictions to alcohol or other drugs or substances.\n\nThe letter or documentation must not be older than 6 months from the date of the application and must provide sufficient information to explain the nature, severity and effects of the addiction and how long the applicant has had the addiction.", "mandatoryMsg": "" }, "email": { "htmlLabel": "Email", "label": "Email", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "", "validationMessage": "Enter a valid email address e.g. name@example.com" } }, "emailAnotherCopy": { "htmlLabel": "Email another copy", "label": "Email another copy", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "emailOptInText": { "htmlLabel": "emailOptInText", "label": "emailOptInText", "mandatoryMsg": "" }, "emailOptInTextDisplay": { "htmlLabel": "EmailOptInTextDisplay", "label": "EmailOptInTextDisplay", "mandatoryMsg": "" }, "enquiriesMadeIdentity": { "htmlLabel": "I have made the following inquiries to establish the identity of the person who was in control of the vehicle at the time of the offence", "label": "I have made the following inquiries to establish the identity of the person who was in control of the vehicle at the time of the 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"{{data.alertDialogData.button}}", "label": "", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "errorDialogText": { "htmlLabel": "{{data.alertDialogData.text}}", "label": "", "mandatoryMsg": "" }, "evidenceOOT": { "htmlLabel": "Attach evidence to support the reason you could not have made an application within the time originally allowed", "label": "Attach evidence to support the reason you could not have made an application within the time originally allowed", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Out of time reason evidence", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteIcon": "fa-trash", "downloadIcon": "fa-download", "dropZoneText": "Or drop files", "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" } }, "expiryDate": { "htmlLabel": "Expiry Date", "label": "Expiry Date", "mandatoryMsg": "" }, "explanationForPossession": { "htmlLabel": "The following information explains the circumstances in which {{data.whereYouPersonInControl === 'No' ? "the person named above" : "I"}} was in possession or control of the vehicle at the time of the offence.", "label": "The following information explains the circumstances in which was in possession or control of the vehicle at the time of the offence.", "mandatoryMsg": "The following information explains the circumstances in which the person named above was in possession [...] is required", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "extensionBlk": { "htmlLabel": "Extension Blk", "label": "Extension Blk", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "extensionOfTimeAction": { "htmlLabel": "extensionOfTimeAction", "label": "extensionOfTimeAction", "mandatoryMsg": "" }, "extensionReason": { "htmlLabel": "Reason for extension (max. 3,000 characters)", "label": "Reason for extension (max. 3,000 characters)", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "extensionTime": { "htmlLabel": "Amount of time required", "label": "Amount of time required", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "1 month", "value": "1 month" }, { "label": "2 months", "value": "2 months" }, { "label": "3 months", "value": "3 months" }, { "label": "4 months", "value": "4 months" }, { "label": "5 months", "value": "5 months" }, { "label": "6 months", "value": "6 months" } ], "placeholder": "", "underHelpText": "" } }, "falseStatmentDeclaration": { "htmlLabel": "I understand that under Part 3.4 of the Criminal Code 2002, it is an offence to make a false or misleading statement, give false or misleading information or produce a false or misleading document. 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"mandatoryMsg": "" }, "format": { "htmlLabel": "Format", "label": "Format", "mandatoryMsg": "" }, "format_1": { "htmlLabel": "Format", "label": "Format", "mandatoryMsg": "" }, "format_2": { "htmlLabel": "Format", "label": "Format", "mandatoryMsg": "" }, "format_4": { "htmlLabel": "Format", "label": "Format", "mandatoryMsg": "" }, "fullAddress": { "htmlLabel": "Full Address", "label": "Full Address", "mandatoryMsg": "" }, "fullAddress_1": { "htmlLabel": "Full Address", "label": "Full Address", "mandatoryMsg": "" }, "fullAddress_2": { "htmlLabel": "Full Address", "label": "Full Address", "mandatoryMsg": "" }, "fullAddress_4": { "htmlLabel": "Full Address", "label": "Full Address", "mandatoryMsg": "" }, "fullName": { "htmlLabel": "FullName", "label": "FullName", "mandatoryMsg": "" }, "genericLookup30": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "altLookup": "", "ariaLabel": "", "lookupName": "ssb" } }, "genericLookup30_1": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "altLookup": "", "ariaLabel": "", "lookupName": "ssb" } }, "genericLookup30_2": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "altLookup": "", "ariaLabel": "", "lookupName": "ssb" } }, "genericLookup30_4": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "altLookup": "", "ariaLabel": "", "lookupName": "ssb" } }, "genericLookup_3": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "genericLookup_5": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "genericLookup_6": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "genericLookup_7": { "htmlLabel": "Generic Lookup", "label": "Generic Lookup", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "geocode": { "htmlLabel": "Geocode", "label": "Geocode", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "geocodeArray": { "htmlLabel": "GeocodeArray", "label": "GeocodeArray", "mandatoryMsg": "" }, "geocodeArray_1": { "htmlLabel": "GeocodeArray", "label": "GeocodeArray", "mandatoryMsg": "" }, "geocodeArray_2": { "htmlLabel": "GeocodeArray", "label": "GeocodeArray", "mandatoryMsg": "" }, "geocodeArray_4": { "htmlLabel": "GeocodeArray", "label": "GeocodeArray", "mandatoryMsg": "" }, "geocode_1": { "htmlLabel": "Geocode", "label": "Geocode", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "geocode_2": { "htmlLabel": "Geocode", "label": "Geocode", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "geocode_4": { "htmlLabel": "Geocode", "label": "Geocode", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "getNames": { "htmlLabel": "Get Names", "label": "Get Names", "mandatoryMsg": "" }, "given": { "htmlLabel": "Given name", "label": "Given name", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "givenName": { "htmlLabel": "Given name", "label": "Given name", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "givenName_3": { "htmlLabel": "Given name", "label": "Given name", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "gst_1": { "htmlLabel": "GST", "label": "GST", "mandatoryMsg": "" }, "helpDialog": { "htmlLabel": "Help dialog", "label": "Help dialog", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "helpFeedbackForm": { "htmlLabel": "Online feedback form", "label": "Online feedback form", "mandatoryMsg": "", "properties": { "fontawesome": "fa-globe" } }, "helpInfringementImage": { "htmlLabel": "

To view your traffic camera or parking infringements image, visit Access Canberra.

\n", "label": "To view your traffic camera or parking infringements image, visit Access Canberra.", "mandatoryMsg": "" }, "helpNotInName": { "htmlLabel": "

You cannot submit an application if the infringement is not in your name.

", "label": "You cannot submit an application if the infringement is not in your name.", "mandatoryMsg": "" }, "helpPhone": { "htmlLabel": "13 22 81", "label": "13 22 81", "mandatoryMsg": "", "properties": { "fontawesome": "fa-phone" } }, "helpTextBlock": { "htmlLabel": "

Please use this Infringement Payment Plan form to set up payment by direct debit. 

\n", "label": "Please use this Infringement Payment Plan formto set up payment by direct debit.", "mandatoryMsg": "" }, "helpTextBlock_1": { "htmlLabel": "

Please note if your dispute is declined and payment is chosen, the company may incur a Strike which may lead to a 6 month suspension of the vehicle registration.

", "label": "Please note if your dispute is declined and payment is chosen, the company may incur a Strike which may lead to a 6 month suspension of the vehicle registration.", "mandatoryMsg": "" }, "helpTextBlock_4": { "htmlLabel": "

You will not be able to submit a representation for this infringement.

", "label": "You will not be able to submit a representation for this infringement.", "mandatoryMsg": "" }, "helpTextDisplay": { "htmlLabel": "helptext", "label": "helptext", "mandatoryMsg": "" }, "helpTextPoliceInfringement": { "htmlLabel": "

Please use the ACT Traffic Infringement: Submit Representations form instead.

\n", "label": "Please use the ACT Traffic Infringement: Submit Representations form instead.", "mandatoryMsg": "" }, "helpTransferName": { "htmlLabel": "

Please use the Transfer Liability of Infringement form instead.

\n", "label": "Please use the Transfer Liability of Infringementform instead.", "mandatoryMsg": "" }, "helpWithdrawal": { "htmlLabel": "

All applications for withdrawal are assessed in accordance with the Road Transport (General) Withdrawal of Infringement Notices Guidelines 2012. Should your application amount to a dispute of liability it may be referred to the ACT Magistrates Court for determination

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Next steps

\n

You are required to complete these additional forms to finalize your request.

", "label": "Next steps\nYou are required to complete these additional forms to finalize your request.", "mandatoryMsg": "" }, "htmlDisplay_1": { "htmlLabel": "
\n
\n

Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please quote your reference code when enquiring about your submission.

\n
\n\n
\n", "label": "Your reference code is:\n\n\n\nPlease quote your reference code when enquiring about your submission.", "mandatoryMsg": "" }, "htmlDisplay_2": { "htmlLabel": "

OR

\n\n

Send yourself an email with a PDF copy of your form

\n", "label": "OR\n\nSend yourself an email with a PDF copy of your form", "mandatoryMsg": "" }, "htmlDisplay_3": { "htmlLabel": "

OR

", "label": "OR", "mandatoryMsg": "" }, "htmlDisplay_4": { "htmlLabel": "

Next steps

\n

You are required to complete these additional forms to finalize your request.

", "label": "Next steps\nYou are required to complete these additional forms to finalize your request.", "mandatoryMsg": "" }, "htmlDisplay_5": { "htmlLabel": "
\n
\n

Your reference code is:

\n\n

{{Form.data.SFMData.SystemProfile.TrackingCode}}

\n\n

Please note that your saved form will expire on {{data.expiryDate}}.

\n
\n
\n", "label": "Your reference code is:\n\n\n\nPlease note that your saved form will expire on .", "mandatoryMsg": "" }, "htmlDisplay_7": { "htmlLabel": "

OR

", "label": "OR", "mandatoryMsg": "" }, "inPageAlert": { "htmlLabel": "", "label": "In Page Alert", "mandatoryMsg": "", "properties": { "alertText": "To assist customers having difficulty attending an Access Canberra Service centre at this time car and motorcycle learner licences that expired between 31 January and 31 March 2022 have now been extended by six months.", "alertTitle": "", "fontawesome": "fa-circle-info" } }, "inYourName": { "htmlLabel": "Is the infringement in your name?", "label": "Is the infringement in your name?", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "underHelpText": "" } }, "incarcarationEvidence": { "htmlLabel": "Attach evidence to show you were incarcerated during the allowed time to take action", "label": "Attach evidence to show you were incarcerated during the allowed time to take action", "mandatoryMsg": "", 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"htmlLabel": "logic", "label": "logic", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "longitude": { "htmlLabel": "Longitude", "label": "Longitude", "mandatoryMsg": "" }, "longitude_1": { "htmlLabel": "Longitude", "label": "Longitude", "mandatoryMsg": "" }, "longitude_2": { "htmlLabel": "Longitude", "label": "Longitude", "mandatoryMsg": "" }, "longitude_4": { "htmlLabel": "Longitude", "label": "Longitude", "mandatoryMsg": "" }, "lookupConfig": { "htmlLabel": "Country Lookup Config", "label": "Country Lookup Config", "mandatoryMsg": "" }, "lookupConfig_1": { "htmlLabel": "Country Lookup Config", "label": "Country Lookup Config", "mandatoryMsg": "" }, "lookupConfig_2": { "htmlLabel": "Country Lookup Config", "label": "Country Lookup Config", "mandatoryMsg": "" }, "lookupConfig_4": { "htmlLabel": "Country Lookup Config", "label": "Country Lookup Config", "mandatoryMsg": "" }, "lookupname_1": { "htmlLabel": "Lookupname", "label": "Lookupname", "mandatoryMsg": "" }, "lookupname_2": { "htmlLabel": "Lookupname", "label": "Lookupname", "mandatoryMsg": "" }, "lookupname_4": { "htmlLabel": "Lookupname", "label": "Lookupname", "mandatoryMsg": "" }, "lookupname_5": { "htmlLabel": "Lookupname", "label": "Lookupname", "mandatoryMsg": "" }, "lookupparams_1": { "htmlLabel": "Lookupparams", "label": "Lookupparams", "mandatoryMsg": "" }, "lookupparams_2": { "htmlLabel": "Lookupparams", "label": "Lookupparams", "mandatoryMsg": "" }, "lookupparams_4": { "htmlLabel": "Lookupparams", "label": "Lookupparams", "mandatoryMsg": "" }, "lookupparams_5": { "htmlLabel": "Lookupparams", "label": "Lookupparams", "mandatoryMsg": "" }, "lookuptype_1": { "htmlLabel": "Lookuptype", "label": "Lookuptype", "mandatoryMsg": "" }, "lookuptype_2": { "htmlLabel": "Lookuptype", "label": "Lookuptype", "mandatoryMsg": "" }, "lookuptype_4": { "htmlLabel": "Lookuptype", "label": "Lookuptype", "mandatoryMsg": "" }, "lookuptype_5": { "htmlLabel": "Lookuptype", "label": "Lookuptype", "mandatoryMsg": "" }, "mainFooter": { "htmlLabel": "", "label": "Acknowledgement footer", "mandatoryMsg": "", "properties": { "bodyText": "We acknowledge the Ngunnawal people as traditional custodians of the ACT and recognise any other people or families with connection to the lands of the ACT and region. We acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.", "headingText": "Acknowledgement of Country" } }, "mainFooter_1": { "htmlLabel": "", "label": "Main footer", "mandatoryMsg": "" }, "mainFooter_2": { "htmlLabel": "", "label": "Acknowledgement footer", "mandatoryMsg": "", "properties": { "bodyText": "We acknowledge the Ngunnawal people as traditional custodians of the ACT and recognise any other people or families with connection to the lands of the ACT and region. We acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.", "headingText": "Acknowledgement of Country" } }, "mainFooter_3": { "htmlLabel": "", "label": "Main footer", "mandatoryMsg": "" }, "mainFooter_4": { "htmlLabel": "", "label": "Acknowledgement footer", "mandatoryMsg": "", "properties": { "bodyText": "We acknowledge the Ngunnawal people as traditional custodians of the ACT and recognise any other people or families with connection to the lands of the ACT and region. We acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.", "headingText": "Acknowledgement of Country" } }, "mainFooter_5": { "htmlLabel": "", "label": "Main footer", "mandatoryMsg": "" }, "mainStyleSheet": { "htmlLabel": "Main Style Sheet", "label": "Main Style Sheet", "mandatoryMsg": "" }, "masthead": { "htmlLabel": "Masthead", "label": "Masthead", "mandatoryMsg": "" }, "mastheadContainer_1": { "htmlLabel": "", "label": "Masthead", "mandatoryMsg": "" }, "mastheadContainer_2": { "htmlLabel": "", "label": "Masthead", "mandatoryMsg": "" }, "mechanicalIssuesEvidence": { "htmlLabel": "Attach evidence to support your mechanical issues claim", "label": "Attach evidence to support your mechanical issues claim", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Mechanical issues evidence", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteIcon": "fa-trash", "downloadIcon": "fa-download", "dropZoneText": "Or drop files", "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" } }, "medicalEmergencyEvidence": { "htmlLabel": "Attach evidence to support your medical emergency claim", "label": "Attach evidence to support your medical emergency claim", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Medical emergency evidence", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteIcon": "fa-trash", "downloadIcon": "fa-download", "dropZoneText": "Or drop files", "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" } }, "mentalText": { "htmlLabel": "

Evidence to support an application includes a letter or other documentation, describing the applicant’s disability, illness or condition, from one of the following:

\n\n

The letter or documentation must not be older than 6 months from the date of the application and must provide sufficient information to explain the applicant’s mental illness and/or disorder and its duration.

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"properties": { "ariaLabel": "" } }, "mobileNavMenu": { "htmlLabel": "Mobile Nav Menu", "label": "Mobile Nav Menu", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "mobileNavigatorMenu": { "htmlLabel": "", "label": "Mobile Navigator Menu", "mandatoryMsg": "", "properties": { "navAriaLabel": "Secondary wizard status", "navItemGroupRole": "tablist", "navItemRole": "tab", "trackingCodePrefix": "Reference code: " } }, "modalContainer": { "htmlLabel": "Submission received", "label": "Submission received", "mandatoryMsg": "" }, "modalContainer_1": { "htmlLabel": "Application saved", "label": "Application saved", "mandatoryMsg": "" }, "monthDropdown_4": { "htmlLabel": "Month", "label": "Month", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "MM", "underHelpText": "" } }, "monthDropdown_5": { "htmlLabel": "Month", "label": "Month", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", 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"ariaLabel": "" } }, "months_1": { "htmlLabel": "Months", "label": "Months", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "months_2": { "htmlLabel": "Months", "label": "Months", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "months_3": { "htmlLabel": "Months", "label": "Months", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "montserrat": { "htmlLabel": "Montserrat", "label": "Montserrat", "mandatoryMsg": "" }, "name": { "htmlLabel": "Name", "label": "Name", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "name_2": { "htmlLabel": "Name", "label": "Name", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "navButtons": { "htmlLabel": "nav buttons", "label": "nav buttons", "mandatoryMsg": "" }, "navigatorCustom": { "htmlLabel": "", "label": "Navigator (Custom)", "mandatoryMsg": "", "properties": { "navAriaLabel": "Secondary wizard status", "navItemGroupRole": "tablist", "navItemRole": "tab" } }, "needHelp": { "htmlLabel": "Need help", 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"mandatoryMsg": "" }, "orgDecBlk": { "htmlLabel": "Org Dec Blk", "label": "Org Dec Blk", "mandatoryMsg": "", "properties": { "helpText": "" } }, "orgDirectorDeclaration": { "htmlLabel": "I am a Director or an authorised person of the organisation", "label": "I am a Director or an authorised person of the organisation", "mandatoryMsg": "", "properties": { "helpText": "" } }, "organisationName": { "htmlLabel": "Organisation name", "label": "Organisation name", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "overseasID": { "htmlLabel": "Attach a copy of identification for the overseas user such as driver licence or passport.", "label": "Attach a copy of identification for the overseas user such as driver licence or passport.", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Overseas ID", "cancelUploadButtonLabel": "Cancel", 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"htmlLabel": "Parked address", "label": "Parked address", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "payByCentrepay": { "htmlLabel": "Do you wish to pay by Centrepay?", "label": "Do you wish to pay by Centrepay?", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "underHelpText": "" } }, "payment": { "htmlLabel": "Payment", "label": "Payment", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "paymentCentrepayRedirect": { "htmlLabel": "

Please check Ways to pay a fine (infringement) - Access Canberra for other ways to apply for an Infringement Notice Management Plan.

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Phone: {{data.agencyPhone}}
\n{{data.agencyEmail}} 

\n", "label": "Phone:", "mandatoryMsg": "" }, "policeReportNumber": { "htmlLabel": "Police report number", "label": "Police report number", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "postForm": { "htmlLabel": "postForm", "label": "postForm", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "postalCode_3": { "htmlLabel": "Postcode", "label": "Postcode", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "postalCode_5": { "htmlLabel": "Postcode", "label": "Postcode", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "postalCode_6": { "htmlLabel": "Postcode", "label": "Postcode", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", 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"Previous", "label": "Previous", "mandatoryMsg": "", "properties": { "fontawesome": "fa-face-laugh" } }, "privacyContent": { "htmlLabel": "Privacy", "label": "Privacy", "mandatoryMsg": "" }, "privacyDialog": { "htmlLabel": "Privacy", "label": "Privacy", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "privacyPrefill": { "htmlLabel": "Privacy", "label": "Privacy", "mandatoryMsg": "" }, "privacyText": { "htmlLabel": "privacy", "label": "privacy", "mandatoryMsg": "" }, "provideInfoDocuments": { "htmlLabel": "Attach information you were asked to provide in your more information request letter", "label": "Attach information you were asked to provide in your more information request letter", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "More info documents", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove 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Details of the person who illegally used or took the vehicle at the time of the offence:

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Details of last person known to have been in possession or control of the vehicle in the time leading up to the offence:

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Details of the person who was in possession or control of the vehicle at the time of the offence:

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Security Question
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Please review your security question and answer. This question must be correctly answered to re-open the form.

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Security question
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Your answer to this question must match the information you previously provided.

\n", "label": "Security question\n\nYour answer to this question must match the information you previously provided.", "mandatoryMsg": "" }, "textDisplay_2": { "htmlLabel": "

For your records

", "label": "For your records", "mandatoryMsg": "" }, "textDisplay_3": { "htmlLabel": "

Check your email

\n\n

We've sent a copy of your submission to {{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.yourEmailAddress}}.

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If you didn't receive it or would like another copy, just select the option below.

\n", "label": "Check your email\n\nWe've sent a copy of your submission to.\n\nIf you didn't receive it or would like another copy, just select the option below.", "mandatoryMsg": "" }, "textDisplay_4": { "htmlLabel": "

Send yourself a reminder email

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Enter your email address and we'll send you you instructions on how to return to your form.

", "label": "Send yourself a reminder email\nEnter your email address and we'll send you you instructions on how to return to your form.", "mandatoryMsg": "" }, "textDisplay_5": { "htmlLabel": "

Check your email

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We've sent instructions to your email address ({{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.send_reminder_email}}) on how to return to the application when you are ready.

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If you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.

", "label": "Check your email\n\nWe've sent instructions to your email address () on how to return to the application when you are ready.\n\nIf you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.", "mandatoryMsg": "" }, "textDisplay_6": { "htmlLabel": "
Reference code
\n\n

{{data.isCollab?\"\":\"When you saved your form you should have been provided a reference code.\"}}

\n", "label": "Reference code", "mandatoryMsg": "" }, "textLastKnownLegalUser": { "htmlLabel": "

Details of person last known to have lawfully used the vehicle before it was stolen, illegally used or taken:

\n", "label": "Details of person last known to have lawfully used the vehicle before it was stolen, illegally used or taken:", "mandatoryMsg": "" }, "textLastKnownPlaceOfVehicle": { "htmlLabel": "Last place the vehicle was known to be parked before it was stolen, illegally used or taken:", "label": "Last place the vehicle was known to be parked before it was stolen, illegally used or taken:", "mandatoryMsg": "" }, "textLiableIfNoRequestedInfo": { "htmlLabel": "Provision of the information above will satisfy the requirement to take all reasonable steps to assist the administering authority as per Section 33 of the Road Transport (General) Act 1999. Should you not provide the requested information you may remain responsible for the infringement.", "label": "Provision of the information above will satisfy the requirement to take all reasonable steps to assist the administering authority as per Section 33 of the Road Transport (General) Act 1999. Should you not provide the requested information you may remain responsible for the infringement.", "mandatoryMsg": "" }, "textNamesAndAddressesAfter": { "htmlLabel": "The following are names and addresses of each person who had access to the vehicle at the time of the offence:", "label": "The following are names and addresses of each person who had access to the vehicle at the time of the offence:", "mandatoryMsg": "" }, "textNamesAndAddressesBefore": { "htmlLabel": "The following are a list of names and addresses of people who had access to the vehicle before it was stolen, illegally used or taken:", "label": "The following are a list of names and addresses of people who had access to the vehicle before it was stolen, illegally used or taken:", "mandatoryMsg": "" }, "textNoticedVehicleTaken": { "htmlLabel": "The vehicle was first noticed to be stolen, illegally used or taken on:", "label": "The vehicle was first noticed to be stolen, illegally used or taken on:", "mandatoryMsg": "" }, "textProvideTime": { "htmlLabel": "If the vehicle was sold on the same day as the offence please provide the time.", "label": "If the vehicle was sold on the same day as the offence please provide the time.", "mandatoryMsg": "" }, "textVehicleSold": { "htmlLabel": "The vehicle has been sold on:", "label": "The vehicle has been sold on:", "mandatoryMsg": "" }, "textVehicleSoldTo": { "htmlLabel": "

Details of who the vehicle was sold to:

\n", "label": "Details of who the vehicle was sold to:", "mandatoryMsg": "" }, "textVehicleStolenOn": { "htmlLabel": "The vehicle was reported stolen to the police on:", "label": "The vehicle was reported stolen to the police on:", "mandatoryMsg": "" }, "textdisplay1": { "htmlLabel": "{{data.followupdata}}", "label": "", "mandatoryMsg": "" }, "timeOutput": { "htmlLabel": "TimeOutput", "label": "TimeOutput", "mandatoryMsg": "" }, "timeOutput_2": { "htmlLabel": "TimeOutput", "label": "TimeOutput", "mandatoryMsg": "" }, "timeReportedToPolice": { "htmlLabel": "Time", "label": "Time", "mandatoryMsg": "", "properties": { "helpText": "" } }, "timeVehicleStolenUsed": { "htmlLabel": "Time", "label": "Time", "mandatoryMsg": "", "properties": { "helpText": "" } }, "time_1": { "htmlLabel": "ReceiptTime", "label": "ReceiptTime", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "time_2": { "htmlLabel": "ReceiptTime", "label": "ReceiptTime", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "title": { "htmlLabel": "Title", "label": "Title", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Mr", "value": "Mr" }, { "label": "Mrs", "value": "Mrs" }, { "label": "Miss", "value": "Miss" }, { "label": "Ms", "value": "Ms" }, { "label": "Dr", "value": "Dr" } ], "placeholder": "", "underHelpText": "" } }, "title_3": { "htmlLabel": "Title", "label": "Title", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Mr", "value": "Mr" }, { "label": "Mrs", "value": "Mrs" }, { "label": "Miss", "value": "Miss" }, { "label": "Ms", "value": "Ms" }, { "label": "Dr", "value": "Dr" } ], "placeholder": "", "underHelpText": "" } }, "total_1": { "htmlLabel": "Total", "label": "Total", "mandatoryMsg": "" }, "trackingCodeCustom": { "htmlLabel": "", "label": "Tracking code (Custom)", "mandatoryMsg": "", "properties": { "trackingCodePrefix": "Reference code: " } }, "trackingCodeCustom_2": { "htmlLabel": "", "label": "Tracking code (Custom)", "mandatoryMsg": "", "properties": { "trackingCodePrefix": "Reference code: " } }, "trackingCodeCustom_3": { "htmlLabel": "", "label": "Tracking code (Custom)", "mandatoryMsg": "", "properties": { "trackingCodePrefix": "Reference code: " } }, "transferIntoYourName": { "htmlLabel": "Would you like to transfer the infringement in to your name?", "label": "Would you like to transfer the infringement in to your name?", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "underHelpText": "" } }, "transferOtherDeclaration": { "htmlLabel": "By completing this application you are acknowledging that {{data.applicationTypeDataField == 'Extension' ? 'you will complete an action before the revised due date to ensure no further penalties apply' : 'the infringement will be transferred to the person responsible, and that a new notice will be served to that person and that a new application must be made by the responsible person using the new infringement number'}}. *", "label": "By completing this application you are acknowledging that .*", "mandatoryMsg": "", "properties": { "helpText": "" } }, "transferSelfDeclaration": { "htmlLabel": "By completing this application you are acknowledging that the infringement will be transferred to you as the responsible person, and that a new notice will be served to you. Should you wish to make further applications, a new application must be made using the new infringement number.", "label": "By completing this application you are acknowledging that the infringement will be transferred to you as the responsible person, and that a new notice will be served to you. Should you wish to make further applications, a new application must be made using the new infringement number.", "mandatoryMsg": "By completing this application you are acknowledging that the infringement will be transferred to you [...] is required", "properties": { "helpText": "" } }, "transferToResponsibleOperator": { "htmlLabel": "Do you want to transfer the infringement to the responsible operator of the vehicle at the time of the offence?", "label": "Do you want to transfer the infringement to the responsible operator of the vehicle at the time of the offence?", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "underHelpText": "" } }, "unableToFindIdentity": { "htmlLabel": "I am unable to find out the identity of the person who was in possession or control of the vehicle at the time of the offence because", "label": "I am unable to find out the identity of the person who was in possession or control of the vehicle at the time of the offence because", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "unitSSB_3": { "htmlLabel": "Unit", "label": "Unit", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "unitSSB_5": { "htmlLabel": "Unit", "label": "Unit", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "unitSSB_6": { "htmlLabel": "Unit", "label": "Unit", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "unitSSB_7": { "htmlLabel": "Unit", "label": "Unit", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "unitvalue": { "htmlLabel": "UnitValue", "label": "UnitValue", "mandatoryMsg": "" }, "unknownBlock": { "htmlLabel": "Unknown Block", "label": "Unknown Block", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "unknownDecIndividual": { "htmlLabel": "Unkown Dec Individual", "label": "Unkown Dec Individual", "mandatoryMsg": "I declare that at the time of the offence as stated in infringement number [...] is required", "properties": { "helpText": "" } }, "unknownDecOrganisation": { "htmlLabel": "Unknown Dec Organisation", "label": "Unknown Dec Organisation", "mandatoryMsg": "I declare that at the time of the offence as stated in infringement number [...] is required", "properties": { "helpText": "" } }, "unknownUserDeclaration": { "htmlLabel": "I declare that at the time of the offence as stated in infringement number {{data.infringementNumber}} I was not in possession or control of vehicle registered {{data.vehicleRegistration}} due to the reasons stated above. *", "label": "I declare that at the time of the offence as stated in infringement number I was not in possession or control of vehicle registered due to the reasons stated above. *", "mandatoryMsg": "", "properties": { "helpText": "" } }, "vehicleRegistration": { "htmlLabel": "Vehicle registration", "label": "Vehicle registration", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "wDPRedirect": { "htmlLabel": "

For information on Work and development programs visit Access Canberra.

\n", "label": "For information on Work and development programs visit Access Canberra.", "mandatoryMsg": "" }, "waiverBlock": { "htmlLabel": "Waiver Block", "label": "Waiver Block", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "waiverCriteria": { "htmlLabel": "Waiver criteria", "label": "Waiver criteria", "mandatoryMsg": "", "properties": { "infoText": "" } }, "waiverExtensionQ": { "htmlLabel": "Applications for waivers are also assessed for withdrawal under the Withdrawal Guidelines 2019. If your request is not successful, would you like to have an extension of time to take an action on your infringement notice/s?", "label": "Applications for waivers are also assessed for withdrawal under the Withdrawal Guidelines 2019. If your request is not successful, would you like to have an extension of time to take an action on your infringement notice/s?", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "underHelpText": "" } }, "waiverText": { "htmlLabel": "

A waiver is designed to help vulnerable people deal with the financial aspect of an infringement notice. Having granted a waiver will eliminate the financial aspect of the notice, however other penalties such as demerit points may still apply. There are several criteria that must be met with evidence in order to be eligible for a waiver.

For more information, please read the Road Transport (General) Waiver of Infringement Notice Penalties Guidelines.

", "label": "A waiver is designed to help vulnerable people deal with the financial aspect of an infringement notice. Having granted a waiver will eliminate the financial aspect of the notice, however other penalties such as demerit points may still apply. There are several criteria that must be met with evidence in order to be eligible for a waiver.For more information, please read the Road Transport (General) Waiver of Infringement Notice Penalties Guidelines.", "mandatoryMsg": "" }, "whatWouldYouLikeToDoBlk": { "htmlLabel": "What would you like to do Blk", "label": "What would you like to do Blk", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "whereYouPersonInControl": { "htmlLabel": "Were you the person in possession or control of the vehicle at the time of the offence?", "label": "Were you the person in possession or control of the vehicle at the time of the offence?", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Yes", "value": "Yes" }, { "label": "No", "value": "No" } ], "underHelpText": "" } }, "whichApplicationList": { "htmlLabel": "Which Application List", "label": "Which Application List", "mandatoryMsg": "" }, "withdrawRedirect": { "htmlLabel": "

Please use the Withdraw Infringement form instead.

\n", "label": "Please use the Withdraw Infringement forminstead.", "mandatoryMsg": "" }, "withdrawalAdditionalDocuments": { "htmlLabel": "Attach additional supporting documents (must supplement original evidence given in initial application for withdrawal)", "label": "Attach additional supporting documents (must supplement original evidence given in initial application for withdrawal)", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Additional documents", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteIcon": "fa-trash", "downloadIcon": "fa-download", "dropZoneText": "Or drop files", "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" } }, "withdrawalEvidence": { "htmlLabel": "Attach evidence to support your application for withdrawal", "label": "Attach evidence to support your application for withdrawal", "mandatoryMsg": "", "properties": { "attachmentDescription": "", "attachmentFileName": "", "attachmentName": "Withdrawal evidence", "cancelUploadButtonLabel": "Cancel", "chooseFileButton": "Upload files", "confirmDeleteAttachmentMessage": "Are you sure you want to remove \"~~confirmDeleteMessage~~\"?", "deleteAttachmentTooltip": "Remove \"~~deleteAttachmentTooltip~~\"", "deleteIcon": "fa-trash", "downloadIcon": "fa-download", "dropZoneText": "Or drop files", "errorMessagePrefix": "Error: ", "exceedsSizeLimit": "The file \"~~fileName~~(~~fileSize~~KB)\" exceeds the ~~maxSize~~KB size limit.", "exceedsTotalSizeLimit": "Total size of attachments ~~totalSize~~KB has exceeded maximum of ~~maxTotalSize~~KB.", "fallbackErrorMessage": "An error has occurred uploading this attachment", "fileTypes": "*.jpg, *.jpeg, *.gif, *.png, *.zip, *.pdf, *.doc, *.docx, *.xls, *.xlsx, *.docx", "helpText": "", "invalidFile": "The file \"~~fileName~~\" is not a \"~~allowedTypes~~\" file type.", "invalidSize": "The file \"~~fileName~~\" cannot have a size of 0KB.", "manualAttachmentButtonLabel": "I will deliver manually", "removeSuccessful": "\"~~fileName~~\" has been removed.", "sizeLimitLabel": "Size limit: ~~sizeLimit~~", "successMessagePrefix": "Success: ", "tooManyUploads": "Too many file attachments have been added to the form.", "uploadButtonTooltip": "Choose a file to add to upload queue", "uploadIcon": "fa-upload", "uploadSuccessful": "\"~~fileName~~\" successfully uploaded.", "virusFoundOnUpload": "Possible virus was detected during file virus scanning on \"~~fileName~~\" file.", "waitMessage": "Please wait" } }, "withdrawalFurtherInformation": { "htmlLabel": "Please provide further information to support your choice", "label": "Please provide further information to support your choice", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "" } }, "withdrawalGrounds": { "htmlLabel": "I wish to apply for the withdrawal of the above Infringement Notice on the following grounds", "label": "I wish to apply for the withdrawal of the above Infringement Notice on the following grounds", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "options": [ { "label": "Good record (must be able to demonstrate 5 years continual good behaviour)", "value": "Good record (must be able to demonstrate 5 years continual good behaviour)" }, { "label": "Medical emergency or similar event (supporting evidence required)", "value": "Medical emergency or similar event (supporting evidence required)" }, { "label": "Mechanical issues (supporting evidence required)", "value": "Mechanical issues (supporting evidence required)" }, { "label": "Other", "value": "Other" } ], "placeholder": "", "underHelpText": "" } }, "yearDropdown_4": { "htmlLabel": "Year", "label": "Year", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "YYYY", "underHelpText": "" } }, "yearDropdown_5": { "htmlLabel": "Year", "label": "Year", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "YYYY", "underHelpText": "" } }, "yearDropdown_6": { "htmlLabel": "Year", "label": "Year", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "YYYY", "underHelpText": "" } }, "yearDropdown_7": { "htmlLabel": "Year", "label": "Year", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "YYYY", "underHelpText": "" } }, "yearGenerate": { "htmlLabel": "YearGenerate", "label": "YearGenerate", "mandatoryMsg": "" }, "yearGenerate_1": { "htmlLabel": "YearGenerate", "label": "YearGenerate", "mandatoryMsg": "" }, "yearGenerate_2": { "htmlLabel": "YearGenerate", "label": "YearGenerate", "mandatoryMsg": "" }, "yearGenerate_3": { "htmlLabel": "YearGenerate", "label": "YearGenerate", "mandatoryMsg": "" }, "years": { "htmlLabel": "Years", "label": "Years", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "years_1": { "htmlLabel": "Years", "label": "Years", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "years_2": { "htmlLabel": "Years", "label": "Years", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "years_3": { "htmlLabel": "Years", "label": "Years", "mandatoryMsg": "", "properties": { "ariaLabel": "" } }, "yourEmailAddress": { "htmlLabel": "Your email address", "label": "Your email address", "mandatoryMsg": "", "properties": { "alertIcon": "fa-solid fa-face-laugh", "alertText": "", "helpText": "", "placeholder": "", "underHelpText": "", "validationMessage": "Enter a valid email address e.g. name@example.com" } }, "yourSubmissionHasBeenSuccessful_1": { "htmlLabel": "Your submission has been successful. Please keep a copy of this receipt for your records.", "label": "Your submission has been successful. Please keep a copy of this receipt for your records.", "mandatoryMsg": "" } }, "label": "English" } ] }, "type": "form" }