Parking Ticket Appeal Form

 
Parking Citation Appeal Request
PERSONAL INFORMATION
Affiliation *
Last Name *
First Name *
Home Address *

(No P.O. Box or work adresses, please.)

Street
City
State
Zip Code
Phone # * - - (Eg: 123-456-7890)
Email Address *
Preferred Contact *
VIOLATION INFORMATION
Citation # *
Issue Date * / / (Citations older than 7 days can NOT be appealed.)
Issue Time * : (Eg: 00:00 As indicated on the citation you have received.)
Violation *
Location
License Plate # * State
Permit # (The six digit number on your parking tag)
STATEMENT OF APPEAL
Clearly explain the basis of your appeal. *
***A notice of the Appeal Committee’s decision will be sent in writing to your preferred means of contact. Please call Parking Services at 312-567-8968 if you have not received notification within 10 days of your appeal date. All appeal decisions are final!