TSC Parking Violation Appeal

Appeals of parking tickets issued on the college campus must be filed within ten (10) days of the
date the ticket was issued.

Ticket #
Date Issued Date Issued / MM / DD YYYY
Date Appeal Filed Date Appeal Filed / MM / DD YYYY
Violation

Violation Staff Parking Only Head in Parking Violation Reserved Parking Loading Zone No Parking Zone Permit Required On Sidewalk Disregarding or Moving Barricade Reserved Dental Hygiene Improper Parking Parked on Grass Bike/Skateboard/Skates on Campus Handicap Parking Other Other
Name of Person Filing Appeal Name of Person Filing Appeal First Middle Last
Student ID#
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Vehicle Information
Is the ticketed vehicle registered to you?

Is the ticketed vehicle registered to you? Yes No
If not, name of the registered owner: If not, name of the registered owner: First Middle Last
License Plate #
State
Make, Model and Color of Vehicle
Basis of Appeal
Written Appeal
Do you wish to meet in person?

A written appeal is sufficient. However, the Committee will grant a brief personal statement. Check yes if you wish to meet in person.
Upload a File

Attach Files

A copy of the ticket (jpg, png or pdf) must be included to process your appeal.