Customer appeal form

please complete the form below. in it’s entirity, to be considered for an appeal.

Location Number*

immobilization number*

Or

Citation Number*

Enforcement Agent

Date and Time of Boot and Citation

Date
Time

Name

License plate state

License plate number*

Vehicle make

Vehicle model

Phone number*

-

-

Email*

contact address

if you have a monthly account. your permit number

did you have a valid ticket or permit?

did you properly display your valid ticket/permit?

Did you show your ticket/permit to the enforcement agent?

Violation Amount (Total $)

Purchased parking ticket number

DATE AND TIME TICKET PURCHASED

Date
Time

DATE AND TIME TICKET EXPIRED

Date
Time

attach all supporting documents for your appeal

* Supported file formats: gif, png, jpg

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Drag n' Drop

Or

comments (state the case for your appeal)