Parking Ticket Appeal Form

***IMPORTANT***
*ALL ITEMS MUST BE FILLED OUT COMPLETELY OR APPEAL WILL NOT BE REVIEWED AND THE FINE MUST BE PAID.
*APPEALS ARE LIMITED TO ONE PER SEMESTER.

*Date format: (00/00/00)

Date of Appeal:

Ticket Number:

Permit Number:

License Plate Number:

Residential: Yes No

Date of Ticket:

Drury ID #:

Email Address

REASON FOR APPEAL (USE SPACE PROVIDED) :