First Name:*

Box Number:*

ID Number:*

Name of person vehicle is registered to:
(if different from person appealing ticket)

Colby Affiliation:
Student Faculty/Staff Visitor

E-Mail:*

TICKET INFORMATION

Ticket Number:* Date:*:

Permit Color:*
R(Red) B(Blue) Y(Yellow) G(Green) None Permit #:

State:* Vehicle License #:*

Vehicle Make:* Model:*

Location:*

C.O.N:* Time:*

VIOLATIONS

Please check all violations as checked on ticket:*
Parking in Handicapped Zone
Parking on Walkway
Parking Off Pavement
Unauthorized Use of Designated Space
Not Observing Night Parking Prodedures
Lack of Parking Permit
Parking in Loading Zone
Parking in Fire Lane
Blocking Traffic
Excessive Speed
No Parking Zone
Loss of Parking Privileges
Reckless Driving
Other Violation
Warning Only (no fine)
If other, please specify:
Remarks:(As written on ticket)

Vehicle Towed
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
x3345, M-F, 8:00AM-4:00PM, to schedule a meeting with the committee.

Please describe briefly reasons for appealing the ticket.

By clicking on the submit button this 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.