Toll Booth Citation Waiver Request Form

Form Template

Customers may submit a request for waiver of his/her video toll or transfer of responsibility of the video toll during the 30 days prior to the due date on the Notice of Toll Due (NOTD).

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For a full description of these defenses, and instructions for requesting an administrative review. N Providing insufficient evidence and documentation may result in the rejection of a Waiver Request. Outstanding debt will continue to escalate in the violation process until documentation is received and validated The Toll Booth Citation Waiver Request Form mobile app allows you to replace your paper waiver with an Android, iPhone, tablet or Windows desktop computer. The mobile form includes fields to document items such as waiver category, transaction number, customer explanation, sworn declaration and captures a signature. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your citations records. You can also use the App Builder to personalize and customize this mobile form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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