Contact InformationName * Required First Last Email * Required PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Campus Role * RequiredStudentFacultyStaffVisitorTicket InformationTicket Number Date MM slash DD slash YYYY Time : Hours Minutes AM/PM AM PM AM/PM Location Year Make Model Licence Number Permit Number Reason for AppealBriefly describe the violation and why you wish to appeal the ticket Δ
