Parking Ticket Violation Appeal Form
I request a hearing before the Parking Appeals Adjudicator in response to the ticket described below:
First & Last
Date of Ticket (mm/dd/yy):
*MUST BE SUBMITTED WITHIN FIVE (5) BUSINESS DAYS OF THE TICKET DATE
Time of Ticket (hh:mm):
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, prior to the appeal hearing.
Please describe what you are seeking by submitting this appeal:
Select a meeting option:
Meet with the Appeals Adjudicator - date, time and place will be emailed to you.
Submit as written appeal.
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.
Phone Number (xxx-xxx-xxxx):
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