AMPS Time Extension Request Form - Prince Edward County Municipal Services

In order to be considered for an Extension of Time to Request a Screening Review, this Request must be received by the AMPS Unit Screening Officer within 15 days of the date the Penalty Notice was issued.

The Screening Officer may grant an Extension and set a date for a Screening Review only if the Applicant demonstrates, on a balance of probabilities, the existence of mitigating or extenuating circumstances that warrant an extension of time.

You will be notified of the decision of the Screening Officer. If the Screening Officer grants an extension, a staff member will contact you to book a Screening Review appointment.

If you do not attend the Screening Review at the scheduled time, an administrative fee of $50 will be added to the amount of the Penalty Notice.

Click here if you prefer to download, fill and return this form by mail.
Penalty Notice Number*
Found on the top of your penalty notice.
Penalty Notice Date*
DD slash MM slash YYYY
Vehicle Licence Plate Number
If applicable.
Your Name*
Your Address*
Street Address Apartment/Unit/Suite Number City Province/Territory Postal Code Country
Your Phone Number*
Your Email Address*
Please describe the mitigating or extenuating circumstances that warrant an extension of time.

Residents