Vehicle Ticket Online Appeal Form

Last Name*

First Name*

Box Number

ID Number

Vehicle Registered To*

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

Colby Affiliation*

Email*

Ticket Number*

Ticket Date*

Permit Color*

Permit Number

Vehicle Make*

Vehicle Model*

Vehicle License Plate Number*

State*

Location*

Please enter the location at which the violation occurred.

Colby Officer Number

Time*

: HH

MM

Please enter the time when the violation occurred.

Violation(s)*

Please check all violations as checked on ticket.

Other Violation

If checked above, please specify.

Ticket Remarks

Please enter remarks as entered on the ticket.

Reasons for Appealing*

Please briefly describe your reasons for appealing this ticket.

Ticket Number