Penalty Charge Notice number Date of issue
Vehicle registration number
Full Name Mr/Mrs/Miss/Ms/
Address
Postcode
Telephone
Email
Please explain what happened and why you feel that you should not have to pay the Penalty Charge Notice
Signed Date
Bolton Council
OFFICE USE ONLY
PO Box 434 Action taken
Bolton
Date
BL1 4FD Initials
Authorised by
parkingservices@bolton.gov.uk
bolton.gov.uk/parking
Please return this form to the address below. We cannot accept verbal or telephone appeals.
An acknowledgement or decision in writing will be made within 10 working days of Parking Services receiving this challenge. If
the Penalty Charge Notice is not waived, then the payment will remain at the discounted rate for a further 14 days after the
decision has been made.
Please note that the registered of the owner of the vehicle is liable for the charge even if they were not driving at the
time of the contravention. The owner cannot transfer liability to the driver.
Penalty Charge Notice Challenge Form
Please enclose copies (not originals) of any documents or other evidence you are relying on to support your challenge