Fillable KNOX COLLEGE CAMPUS SAFETY DEPARTMENT PARKING TICKET APPEAL (Knox College)

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KNOX COLLEGE CAMPUS SAFETY DEPARTMENT PARKING TICKET APPEAL (Knox College)

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KNOX COLLEGE
CAMPUS SAFETY DEPARTMENT
PARKING TICKET APPEAL
(Please print)
Appeals will not be considered if received later than five (5) working days from the
date of the violation. Parking for personal convenience will not be considered a
valid reason for appeal.
YOUR NAME: _________________________________________________________
EMAIL ADDRESS: _____________________________________________________
STREET OR CAMPUS ADDRESS: ________________________________________
CITY, STATE, ZIP: _____________________________________________________
TELEPHONE NUMBER: ________________________________________________
CITATION #: ______________ VEHICLE PERMIT #: _____________________
VEHICLE STATE: _________ VEHICLE LICENSE #: ____________________
DATE OF VIOLATION: __________________ VIOLATION #/TYPE: _________
REASON(S) FOR APPEAL:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
SIGNATURE: ____________________________ DATE: ______________________
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KNOX COLLEGE CAMPUS SAFETY DEPARTMENT PARKING TICKET APPEAL (Knox College)

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Completed 23 July 2020

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