Town of Lexington
Office of the Parking Clerk
PARKING TICKET APPEAL
ALL APPEAL REQUESTS MUST BE RECEIVED WITHIN 21 DAYS OF TICKET ISSUANCE.
Name: Today’s Date:
S
treet:
Telephone Number:
City
:
State Zip
Parking Ticket Information:
Ticket Number:
Date Issued:
Vehicle
Make:
Color: Year:
Plate
Number:
State:
Parking
Ticket Violation:
I wish to appeal this parking violation for the following reason(s):
(Please print or type. If additional space is needed, please use the reverse side of this form.)
Hearing Information: You may appeal this ticket in person or in writing.
Hearings are held on the first and third Friday of every month between 9:00 a.m. – 11:00 a.m.
(Excluding holidays.)
Hearings are held in: REED ROOM, 1st FLOOR, LEXINGTON TOWN OFFICE BUILDING
1625 MASSACHUSETTS AVENUE, LEXINGTON, MA
Written Appeals:
Please attach the ticket and any other materials you feel appropriate to this appeal form. (Keep
copies for your records.) Please mail or hand-deliver this form to the TRAFFIC OFFICE (Police
Department), 1575 Massachusetts Avenue, Lexington, MA 02420. A decision will be rendered within
21days of appeal date.
(DO NOT WRITE BELOW THIS LINE. FOR OFFICIAL USE ONLY.)
APPEAL HAS BEEN: Approved, NO PAYMENT NECESSARY.
Denied, PAYMENT IS DUE WITHIN 10 DAYS TO AVOID LATE FEE.
Appeared in person – No notification necessary.
COMMENTS:
PARKING HEARINGS OFFICER: Date:
(Revised 02/22/05)
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