Ticket Appeal Form

By submitting this form, your appeal will be sent to the Security Department and will be reviewed by the Ticket Appeal Committee at their next meeting. You will be notifed of the results of your appeal by campus mail. The appeals committee generally meets once a month.

Items in bold text are required.

Please make sure that all information you provide is accurate and complete. 


 
Please enter the name of the person to whom the vehicle is registered, if different from the person appealing the ticket.

   
   
   
  mm/dd/yy
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Please check all violations as checked on ticket.
If checked above, please specify.

Please enter remarks as entered on the ticket.

Note: If the vehicle was towed or you have lost your parking privileges you MUST meet with the Ticket Appeals Committee in order to appeal the ticket. You may fill out a written appeal as well. Please contact the Security Office at x5530, M-F, 8:00AM-4:00PM, to schedule a meeting with the committee.

Please describe briefly your reasons for appealing this ticket.