Print and fill out the following form. Fax to (310)
660-3407. Your administrative appeal decision will be faxed back to
the originating fax number.
E-mail directions:
Fill out the form and click on send ONCE. A
confirmation will be sent back within 1 business day. If a
confirmation was not received, fill and send out the form again.
Your administrative appeal decision will be emailed back to the
address given.
Contact Information
First Name:
Last Name:
Student ID Number:
Email Address:
Address:
City:
State:
Zip Code:
Phone Number:
Citation Information
Citation Number:
Type of Violation:
Date of Citation MM/DD/YY:
Location of Violation:
Lot Type:
Vehicle and Permit Information
License Plate Number:
License Plate State:
Parking Permit Number:
Permit Type:
Reason for Appeal (max length 255
characters):
Please be specific in explaining why you feel the citation
should be dismissed.
Parking citations will not be recommended for dismissal for a
lost or forgotten permit, improperly displayed permit, not knowing
regulations, not displaying daily permits properly and/or seeing
the signs. An administrative review request must be submitted in
writing.