Parking Appeals Form

Full Name:

Email Address:

Street Address:

City:

State:

ZIP code:

Phone Number:

Student ID Number:

Date of Ticket:

Location of Ticket:

Ticket Number:

Appeal Reason:

Ticket Issued Incorrectly
Regulation did not apply
The signage of regulation was unclear

State, with clarity, the reasons and basis for appeal (4000 chars max):

Do you wish to use your above statement as testimony and not appear before the committee unless you need to elaborate?:

Yes
No

disposition_comments:

final_disposition:

Security code:

Enter security code: