Form TE9 - Witness Statement for Unpaid Penalty Charge

Sep 16, 2026

Form TE9 is a witness statement for use in proceedings relating to an unpaid penalty charge. It gathers penalty charge details, the witness’s personal and address information, and the selected grounds for the witness’s position, including non-receipt, representations and non-response, adjudication outcomes, or full payment. The form includes a statement of truth, signature options (including signing on behalf of others), and payment details. It also highlights contempt of court risk for false statements and provides filing instructions to the Traffic Enforcement Centre.

LanguageEnglish

CategoryForms

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

Penalty charge and witness details

Grounds for the witness statement

Statement of truth and signing

Filing and submission instructions

Form TE9 Witness statement – unpaid penalty charge Please complete this form in black ink using BLOCK CAPITALS and return it to the address below Traffic Enforcement Centre Northampton County Court Business Centre St. Katharine’s House 21 – 27 St Katharine’s Street Northampton, NN1 2LH | Penalty Charge No. | | | --- | --- | | Vehicle Registration No. | | | Applicant | | | Location of Contravention | | | Date of Contravention | | You must ensure that all details above are correctly entered from the form TE3-Order for Recovery of unpaid penalty charge ( Dart Charge or Mersey Gateway) . Title Mr. Mrs. Miss Ms. Other Full name (Witness) Address | Postcode | | | --- | --- | Company name (If vehicle owned and registered by a company) The above named witness, declares that: Tick all boxes that apply to you. I did not receive the penalty charge notice. I made representations about the penalty charge to the Charging Authority concerned, within 28 days of the service of the Penalty Charge Notice, but did not receive a rejection notice. I appealed to an adjudicator against the Charging Authority's decision to reject my representation, within 28 days of service of the Rejection notice, but have either: Had no response to the appeal,or The appeal had not been determined by the time that the charge certificate had been served,or The appeal was determined in my favour. The penalty charge has been paid in full. Date it was paid How was it paid Cash/Cheque/Debit/Credit card To whom was it paid Proceedings for contempt of court may be brought against you if you make or cause to be made a false statement in an application verified by a statement of truth without an honest belief in its truth. Statement of truth (I believe) (The witness believes) that the facts stated in this statement are true. (witness) (Person signing on behalf of witness) Print full name If you are signing on behalf of the witness, are you An Officer of the company A Partner of the firm A Litigation friend acting on behalf of a protected party within the meaning of the Mental Capacity Act 2005 TE9 Witness statement-unpaid penalty charge (Parking) (09 .20) © Crown Copyright 2020 Making a Witness Statement You may make a witness statement under the following grounds, which apply to you: • You did not receive the penalty charge notice. • You made representations about the penalty charge notice to the Charging Authority within 28 days of service of the notice but did not receive a reply (notice of rejection) . • You appealed to an adjudicator against the Charging Authority’s decision to reject your representation within 28 days, but either: • Had no response to your appeal, or • The appeal had not been determined by the time that the charge certificate had been served, or • The appeal was determined in your favour • You paid the penalty charge to which the charge certificate relates. You must provide details of the date payment was made, the method of payment [i.e. cash](i.e. cash), cheque, etc and who the payment was made to. Please note you may be asked to provide proof of payment upon request. Proceedings for contempt of court may be brought against you if you make or cause to be made a false statement in a witness statement verified by a statement of truth without an honest belief in its truth. You must file the witness statement by the date shown on the Order for Recovery. Once completed send to the Traffic Enforcement Centre at: County Court Business Centre St Katharine’s House 21 – 27 St Katharine’s Street Northampton NN1 2LH or [tec@justice.gov.u](tec@justice.gov.uk)[k](tec@justice.gov.uk)

FAQs

What information must be entered on the TE9 witness statement?

Enter the penalty charge number, vehicle registration number, applicant details, location and date of the contravention, plus the witness’s name, address and (if applicable) company details. Payment information is also required if the charge has been paid.

Which grounds can be ticked on the TE9 form?

The form allows ticks for non-receipt of the penalty charge notice, representations made within 28 days without receiving a rejection notice, and an appeal to an adjudicator that was not responded to or not determined in time, or was determined in the witness’s favour. It also allows selecting that the penalty charge has been paid in full.

What are the filing instructions and deadline for TE9?

File the witness statement by the date shown on the Order for Recovery. Send the completed form to the Traffic Enforcement Centre at County Court Business Centre, St Katharine’s House, 21–27 St Katharine’s Street, Northampton, NN1 2LH (or by the provided email address).

Sep 16, 2026

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