Parking Citation Appeal Form

I,*
would like to appeal a parking citation that I received. I was parked at the following location on the date listed. Below is a brief explanation for appealing this citation:
Identify the reason for appeal*
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email Address*
Citation Number*
Vehicle Offense Location
Offense Date*
Today's Date*
- Please check mark if you would prefer to have this form used instead of a personal appearance. You will then be informed of the appeal committee's decision following only a review of this form.

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Contact Us

Campus Police

Worcester- Boutin Hall

38 Roxbury Street

Worcester, MA 01609

Non-Emergency: 508.373.9559

Campus Police

Leicester- Susan E. Knight Hall

11 Washburn Square

Leicester, MA 01524

Non-Emergency: 774.354.0606

Emergency:

On-campus: ext. 9555

Off-campus: 508.373.9555

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