*Last Name:                 *First Name:             

*Local Address:             

*City:                 *Zip:             

*Home Phone:                Work Phone:

*MWSU ID # :                 *Email:             

*Vehicle License/State:                 Sticker #:             

*Citation #:                 *Date Issued:                 *Time Issued:             

*Officer #:                 *Offense Location:             

*Violation Description:             

*Reason for Appeal:
 

A $10.00 ADMINISTRATIVE APPEAL FEE MAY BE ADDED TO YOUR PARKING FINE FOR ALL APPEALS THAT ARE UPHELD BY THE TRAFFIC APPEALS BOARD.

Within 10 business days you will receive a confirmation receipt of your Appeal Form by email.

Your confirmation receipt will include your Appeal Hearing date and time.

By clicking "Submit", I understand that there is a possible $10.00 per citation fee for all upheld citations.