Disagree with the reminder

You can use this form only when you have received a traffic fine (M) or a penalty order (O). Have you received mail with another letter on it? Please call us on +31 58 234 21 30.

Requesting information does not allow you more time to make payment or to lodge an appeal. The time periods for making payment and lodging an appeal are indicated on your fine.

Fields marked with an * are mandatory.

Your details

CJIB number *

Company name

Initial(s) of your first name(s) *

Surname *

Streetname and house number *

Postal Code *

Place of residence *

Country *

Telephone number *

Why do you disagree with the reminder?

Please choose *

I haven't received previous correspondence regarding this fine

I have already paid this fine

Your payment details

Please provide below the bank account (IBAN) details and upload a proof of payment

Payment date

Account holder's name (IBAN)

Account number (IBAN)

BIC/Swift code

Upload a proof of payment

Files must be smaller than 2 MB.
Allowed file types: jpg, jpeg, png, bmp of pdf.

Language selection

Select in which language you prefer to receive our reply.

Language *

I’d like to pay my fine

I’d like to pay my fine in instalments

I disagree with my fine

I disagree with a payment reminder

I’d like to see my photo

Health insurance (administrative fine)

What is the CJIB?

How do we work?

Contact

Disagree with the reminder

Disagree with the reminder

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