Report Abuse

Case Area*
- Excessive fines, tickets, or court fees related to the operation of your car, code enforcement on your home, or impoundment of your car. Amount must be at least $200.
- Fines and fees from code enforcement on your home or apartment for a violation that is not dangerous
- A license or permit that you want but cannot get because you owe money to the government for parking tickets or some other fine or fee.
- Some other kind of government fine or fee where the process seemed unfair, for instance, if you were not permitted to submit evidence, witnesses were not required to swear or attest to tell the truth, or your proceeding was not transcribed or recorded.
What is the date that the fine/ticket was first received?
MM slash DD slash YYYY

Estimates are ok.
If your home or property was involved, what is the address?
Street Address Address Line 2 City State ZIP Code

Estimates are ok.
Briefly describe what offense(s) the fine/ticket issued for.
Approximately how much are your fines/tickets?
Have you paid any of the fines/tickets?
- Yes, I have paid everything.
- Yes, I have paid some.
- No, I have not paid anything.
How much have you paid?
Do you have any upcoming case deadlines or hearings approaching?
- Yes
- No
What is the date?
MM slash DD slash YYYY
Please briefly describe your upcoming case event (hearing, deadline, etc.).

Where did the seizure occur?
Include direction travelling, road, county, and state for road stops; location in airport and airport name for air travel; or a specific address.
When did the seizure occur? If exact date unknown, please include month and year.
What property was seized?
Please list items taken and their approximate value if known, (i.e. $5,600 Cash, 2009 Ford Fiesta worth $5,000, wood working tools and materials, etc.…)
What Government Agency (or agencies) seized your property? OK to leave blank if unknown.
Briefly summarize your dispute or case with a governmental body.*
Did the government give you any explanation for its actions against you? If so, what was it?*
Why do you think the government has taken these actions against you?*

Is your case currently in litigation?
- Yes
- No
If so, in what court or agency?
What is the next important date or deadline and what is scheduled for that date?