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Public Safety
Parking Appeal Form


In order to appeal a violation of the College's parking policy online, you must complete this form in its entirety within 10 days of the date of the ticket.
 YOUR INFORMATION:
  First Name:
MI:
Last Name:
  Campus E-mail*:
  Confirm E-mail*:
 
 RESIDENT STUDENTS ONLY:
Residence Hall:
Room #:
Box #:

Campus Extension:
 
 NON-RESIDENT STUDENTS, FACULTY, AND STAFF ONLY:
  Home Address:
  City:
  State:
  Zip Code:
Phone:
 
 TICKET INFORMATION:
  Parking Decal #:
Ticket #:
  Ticket Date:
Ticket Time:
List All Violation(s)
Noted on Ticket:
 
If ticketed for PARKING ILLEGALLY, state exactly where were you parked:
  
 APPEAL INFORMATION:
 Appeal Statement:
 
Please initial here to verify that this info is correct:
 
   
(click only ONCE)
* = Required Field