Fax directions:
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. |
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Contact Information |
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| First Name: |
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| Last Name: |
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| Student ID Number: |
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| Email Address: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone Number: |
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Citation Information |
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| Citation Number: |
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| Type of Violation: |
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| Date of Citation MM/DD/YY: |
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| Location of Violation: |
Lot Type: |
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Vehicle and Permit Information |
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| License Plate Number: |
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| License Plate State: |
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| Parking Permit Number: |
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| Permit Type: |
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Reason for Appeal (max length 255 characters): |
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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. |
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