Parking Ticket Appeal Form

Just complete this form and click Submit to send the information to Public Safety.

Only ONE ticket may be appealed per form.

Fields marked with * are required

Date of Appeal *
Name *
Address *
City *
State *
Zip Code
Student Account Number
Email Address *
Last 4 Digits of
Social Security Number *
Campus Address
Room Number
Mail Box Number
Home/Local Phone * --
Campus Phone --
License Plate Number *
State *
Curry Permit Number
Vehicle Make *
Model *
Color *
Date ticket was issued *
Ticket Number *
Violation Number *
Location of Violation *
Please explain why you should not be found guilty of the above violations *