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  • <div style="background-image:url(/live/image/gid/6/width/1600/height/300/crop/1/29873_header-aerial.rev.1450206652.jpg)"/>

Public Safety

Ticket Appeal Form

Once submitted, the person completing this form will be notified via e-mail when a decision concerning the appeal is rendered.  Once a decision is rendered, there are no provisions through the Department of Public Safety for appeal of an unfavorable appeal decision.

*Required Information*

required text field
required date field
required text field
required text field
No spaces (e.g. LFC1234)
required select menu field
required text field
If no permit was issued, type NONE. If temporary permit was issued, type TEMP.
required text field
required text field
If the person submitting this form does not have a College ID number, type NONE.
required text field
If person submitting this form does not have a phone number, type NONE.
required e-mail address field
required text field
If the person submitting this form is the vehicle owner, type SAME
text field
Enter information only if it is different from the person submitting this form.
text field
Enter information only if it is different from the person submitting this form.
e-mail address field
Enter information only if it is different from the person submitting this form.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
select menu field
You MUST acknowledge this statement by selecting “YES” for your appeal to be considered.
textarea field
Please enter all relevant information you wish to be considered.