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2. Appeals are only accepted within 14 days after the date the Citation was issued
4. Vehicle License Plate #*

   Vehicle License Plate #

5. State*

   State

6. Make/Model/Color*

   Make/Model/Color

8. Date/Time of Citation*

   Date/Time of Citation

9. Location of Citation*

   Location of Citation

10. Citation #*

    Citation #

11. Parking Violation Type*
    -- Select One --15 Minute Overtime30 Minute Overtime2 Hour Overtime3 Hour Overtime72 Hour OrdinanceHelmet ViolationMore than 12" from curbNo Parking ZoneNo PermitOther ViolationParked Facing TrafficParked in a Bike LaneParked on the SidewalkSkateboard/Bicycle on SidewalkTrailer ViolationMethod of ParkingOversized Vehicles

    Parking Violation Type

13. First Name*
14. Last Name*
16. Address1*
18. Address2
20. City*
21. State*
22. Zip*
24. Phone*

    Phone

26. Narrative*

    Explain reason for appeal

28. A Hearings officer will review this appeal and notify you of the findings within 5 to 6 business days at your listed phone number. The parking fine will hold at the original amount until you receive notice from our office regarding disposition of your appeal.

    1. I affirm that all information provided is true and correct. Any false statements may result in civil and/or criminal penalties.
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field