Parking Ticket Violation Appeal Form
I request a hearing before the Parking Appeals Adjudicator in response to the ticket described below:
First & Last Name:
Your answer
Ticket Number:
Your answer
Date of Ticket (mm/dd/yy):
*Must be submitted within five (5) business days of the ticket issuance date.
Your answer
Time of Ticket (hh:mm):
Your answer
Location:
Your answer
Alleged Offense:
Your answer
Relationship to SUNY Geneseo:
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 (at parking@geneseo.edu or in person in Schrader Hall, Room 19), prior to the appeal hearing.
*Make sure to include the ticket number with all documentation.
Appeal Basis:
Your answer
Please describe what you are seeking by submitting this appeal:
Your answer
Select a meeting option:
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.
Complete Mailing Address or C.U. Box Number:
*Appeal decisions will be mailed to this address.
Your answer
Email Address:
Your answer
Phone Number (xxx-xxx-xxxx):
Your answer
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