Campus Parking/Traffic Ticket Appeal

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This form is an electronic form used to appeal tickets issued by the RCBC Public Safety Office.

Name (First Last) *

RCBC Student ID # *

Enter your RCBC Student ID, Employee ID if a Visitor enter Phone Number

Address *

Enter full mailing address to include ZIP

Status *

Please select your association with the College

Date of violation *

Appeal must be within five days of receipt (as detailed in the RCBC Student Handbook)

YYYY

Violations Cited for (Select all that Apply) *

(Note - Each Violation has fine amount next to it and is circled on ticket) and ALL Tickets include a $10 Service Charge.

Failure to Display Permit ($10)

Parking Violation - 1st Offense ($10)

Parking Violation - 2nd Offense ($20)

Parking Violation - 3rd Offense ($30)

Parking Violation - 4th Offense ($40) (and/or towing or loss of parking privileges)

Moving Violations: 1st Offense ($25)

Moving Violations: 2nd Offense ($40)

Moving Violations: 3rd Offense ($75)

Parking in Handicapped Space - Without a Handicapped Permit $250 and/or towing and/or loss of parking privileges.

Required

Total amount of Ticket *

Please use above (don't forget to add the $10 service charge) and note the total amount of the ticket here.

Amount of Ticket Appealed *

Please note the amount of the ticket you wish to appeal.

Reason for Appeal *

Please provide your statement to the committee on why the portion you are requesting be appealed should be granted.

Ticket Number *

Provide the number of the ticket (located at the top center of the ticket)

Violation Location *

Provide the location the violation occurred

Officer comments from ticket. Additional information may be submitted to parkingappeals@rcbc.edu *

Use the ticket and provide information as noted in comments.

Submit

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