Toll Charge Complaint Form Survey logo

  Toll Charge Complaint Form  
**You must call local law enforcement to file a police report prior to submitting this form.**

(Police Report must have officer signature)


Once TIADA receives the form, it will be routed to a dedicated staff member at the appropriate toll agency. That agency staff member will contact you to help resolve the issue.


 
 

 

Your form submission WILL be encrypted using SSL to ensure your privacy.

 
 
 
 
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Please specify phone type (ie. office, home, cell)
 
 
 
 
 
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(Fill out a separate form for each authority issuing a bill for tolls on a fraudulent tag)
 
 
 
 
 
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(Date/Time Started)
 
 
 
 
 
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(Date/Time Ended)
 
 
 
 
 
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