Parking Ticket Violation Appeal Form

I request a hearing before the Parking Appeals Adjudicator in response to the ticket described below:
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    Supporting documentation such as statements from witnesses, photographs, receipts, or other information that supports your appeal must be provided to the Parking & Transportation Services office, prior to the appeal hearing.

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    I understand that false or misleading statements or failure to disclose pertinent information may result in the denial of appeal. It may also result in the loss of special permit privileges and/or other appropriate administrative action.

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