Mr John Smith Street Suburb State 3000
[Date] [Name of person to object to] C/o- Civic Compliance Victoria P.O. Box 1916R Melbourne Victoria 3001
Notice of Objection Infringement Notice Number 0123456789 My reasons for holding that there has been no offence committed under the Road Safety Act 1986 were clearly stated in my correspondence of the [insert date of your letter for an Internal Review]. I object to the infringement notice and imposition of penalties. In the event that further action is to be undertaken, then I require it be dealt with in Law by a Court of Competent Jurisdiction of Australia.
[John Smith]
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