AMPS Time Extension Request for Screening Review

Click here for a printer-friendly PDF of this form.

Please complete and submit this form to request an Extension of Time to Request a Screening Review of the Penalty Notice described below:

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 45 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 $51 will be added to the amount of the Penalty Notice.

If submitting a printed request, please send this completed Request for Extension of Time to Request a Screening Review to:

Community Standards - Adjudication Section
1200 Elgin Mills Road East
Richmond Hill, Ontario L4S 1M4

Notice of Collection

The personal information on this form is collected in accordance with the Municipal Act, 2001, and will be used in the administration of the Administrative Monetary Penalty System. Questions about this collection can be directed to the Adjudication Manager, 1200 Elgin Mills Road East, Richmond Hill Ontario L4S 1M4, by telephone at 905 771-5734, or by email to amps@richmondhill.ca.