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Parking Appeal Form
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Student or Employee ID Number *
UMSL Email Only: *
First Name: *
Last Name: *
Address: *
City: *
State: *
Zip: *
Additional Information
Please provide contact number and vehicle information
Phone Number: *
Make of Vehicle: *
License Plate Number: *
Ticket Information
Appeals must be filed within ten (10) business day from date of issue. All information must be complete or your ticket may not be reviewed.
Date of Citation: *
Time: *
Citation Number: *
Violation *
Location *
Fine: *
Reason for Appeal *
Office Use Only
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