Parking Appeals Form

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Student ID Number

Date of ticket

Location of Ticket

Lot ALot BLot CLot DLot D1Lot ELot FLot GLot HLot ILot J

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

Disposition Comments

Final Disposition