Parking Violation Appeal Form



Please complete and click the "Submit" button to send appeal to the parking clerk within 21 days of the violation.

You will receive a response within 7-10 days of receipt.

 

Date: Violation #: Violation Date:
Reg #: Vehicle Make: Model: Year:
Name: Telephone #:
Street Address:
City: State: Zip code:
E-mail: Cell Phone #:
I WISH TO APPEAL THE ABOVE VIOLATION FOR THE FOLLOWING REASON:

FOR USE BY PARKING CLERK ONLY:

APPEAL APPROVED:
APPEAL DENIED:

Last Modified: 8/2/13