2. TICKET #*
   Include the three zeros when entering your ticket number
3. ISSUED DATE:*
   ISSUED DATE:

   ISSUED DATE:
5. LIC PLATE #:*
6. LIC PLATE STATE:*
7. PLATE TYPE:
9. LOCATION*
10. VEH MAKE:*
11. VEH TYPE:*
13. VEH COLOR:*
14. VIOLATION**
    -- Select One --01-METER02-SSP07-IMPROPER PARKING08-DOUBLE PARKED09-RESTRICTED AREA12-PERMIT PARKING13-HANDICAP06-SIDEWALK14-OTHER16-OVER TIME18-MT A PARKING USER FEE11-FIRE LANE
15. METER NO:

    You will find this right around the fine amount

17. FINE:*
    Dollar amount stated on ticket
18. OFFICER NO:
    You will find this under the signature line on the ticket
22. Contact Information
24. Registered Owner's Name*
25. Email Address*
27. Mailing Address*
29. City*
30. State*
31. Zip*
35. Reason for Your Appeal
39. Agree to Terms?*

    1. Yes, I agree
40. Terms of Agreement

    You must submit your appeal within 24 hours of the ticket date/time.

    
    

    Your appeal will be reviewed by the Parking Supervisor within 10 days.

    
    

    You will be contacted via email regarding the disposition of your appeal – Please make sure you list a valid email address for communication.

    
    

    Your penalty will not increase during the appeal process. You may only appeal a ticket once. Tickets which have previously been denied will not be reviewed again.

    
    

    Do not send cash in the mail.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field