Fill - Free fillable Traffic Citation Appeal (University of Hawaii at Hilo) PDF form

FINDINGS:

___________________________________________________________________________________________________

DECISION:

 Yourappealisupheld.Yourcitationandnearewaived.Keepthisdeterminationasareceipt.

 Yourappealisdenied.PayyourneattheUHHiloParkingOfce.Tochallengethedecisionofthisappeal,

 contacttheParkingOfceforformalhearingprocedureswiththeTrafcReviewBoard.

TRAFFIC CITATION APPEAL & REVIEW

 PleasereturnthiscompletedformtoUHHilo/ParkingOfce,Building300,Room101ormailto

 200W.KawiliStreet,Hilo,Hawai‘i96720.Thedecisiononyourappeal,bytheAuxiliaryServicesOfcer,

 willbemailedtoyou.

REASON FOR THIS APPEAL:

________________________________________________________________________________________________________

NAME: _____________________________________________________ ID #_____________________________

MAILING

ADDRESS: ______________________________________________________ PHONE# ________________________

______________________________________________________ CITATION# ______________________

   VehicleLicense# __________________

PARKING OFFICE USE ONLY: Green copy -P-Off Pink copy - AX Off/Mail Yellow copy - Student

RECEIPT DATE ____________________ RECEIPT TIME ___________________AM/PM INITIAL __________

CATEGORY: BLUE GREEN REDZONE __________ NUMBER __________ LENGTHFallSpringYR

POLENTRYDATE/INI: ____________________________

SOAHOLD:Date/Ini.Cleared: ______________________ Date/Ini.IEntered: ______________________

Last Name, First Name

Street or P.O. Number

City State Zip Code

Please print clearly:

Fill Online, Printable, Fillable, Blank Traffic Citation Appeal (University of Hawaii at Hilo) Form