Parking Ticket Appeal

First Name*

Please leave this field empty.

Last Name*

Email Address*

Telephone*

Street Address*

City*

State*

Zip Code*

I am a (choose one)*
—Please choose an option—FacultyStaffStudentVisitor

License Plate*

Vehicle Make/Model*

Ticket Number*

Date on Ticket*

Fine Amount*

Parking Decal Number (if you don't have one, leave blank)

Please describe reason for appeal*