Appeal #__________ PSF0050
DPS USE ONLY
Please return this form to the Department of Public Safety or mail to P.O Box 264, Normal AL. 35762 False
reporting to a law enforcement authorities is a Class A misdemeanor.
Alabama A&M University
Department of Public Safety
Citation Appeal Form
Name______________________________
A# Number__________________________
Address_____________________________
____________________________________
Email Address________________________
Phone Number_______________________
Citation Number______________________
Citation Date_________________________
Violations (Mark all that apply)
Failure to Display Registration Sticker
Parking in a Handicap Zone
Failure to Register Vehicle
Failure to Obey a Traffic Control Device
Reason for Appeal
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Signature________________________ Received By_____________________ Date__________