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Ticket Appeal Form

By submitting this form, your appeal will be sent to the Security Department and will be reviewed by the Ticket Appeal Committee at their next meeting. You will be notifed of the results of your appeal by campus mail. The appeals committee generally meets once a month.

Items in bold text are required.

Please make sure that all information you provide is accurate and complete.

Last Name:

First Name:

Box Number:

ID_Number:

Vehicle Registered To:

Please enter the name of the person to whom the vehicle is registered, if different from the person appealing the ticket.

Colby Affiliation:

Student

Faculty/Staff

Visitor

E-mail :

Ticket Number:

Ticket Date:

mm/dd/yy

Permit Color:

Red

Blue

Yellow

Green

None

Permit Number:

Vehicle Make:

Vehicle Model:

Vehicle License #:

State:

Location:

C.O.N. (Colby Officer Number):

Time:

Violation(s):

Parking in Handicapped Zone

Parking on Walkway

Parking Off Pavement

Unauthorized Use of Designated Space

Not Observing Night Parking Procedures

Lack of Parking Permit

Parking in Loading Zone

Parking in Fire Lane

Blocking Traffic

Excessive Speed

No Parking Zone

Loss of Parking Privileges

Reckless Driving

Other Violation (specifiy below)

Warning Only (no fine)

Please check all violations as checked on ticket.

Other Violation:

If checked above, please specify.

Ticket Remarks:

Please enter remarks as entered on the ticket.

Vehicle Towed

Note: If the vehicle was towed or you have lost your parking privileges you MUST meet with the Ticket Appeals Committee in order to appeal the ticket. You may fill out a written appeal as well. Please contact the Security Office at x5530, M-F, 8:00AM-4:00PM, to schedule a meeting with the committee.

Reasons for Appealing:

Please describe briefly your reasons for appealing this ticket.

Ticket Appeal Committee Use Only

This section will be filled out by the Ticket Appeal Committee and returned to you by campus mail.

Ticket Number:

Appeal Granted: This parking ticket will be voided

Appeal Denied: Payable at the Business Office