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Northwest Missouri State University


Parking Violation Appeal Form

First Appeals Procedure

If a visitor, student, staff or faculty member believes that the citation was issued in error, he/she has the right to appeal to the Traffic and Parking Appeals Committee. This appeal must be received in Campus Safety within five (5) calendar days for receipt of the citation or billing notice (issued by the University's Treasurer's Office). Late appeals shall not be considered, except for extenuating circumstances. Appeal forms are available at the Campus Safety Office or the Student Services Center. The appellant shall be notified in writing of the committee's decision.

* indicates required fields

Contact Information

* First Name:
* Last Name:
* 919 Number:
* Email Address: (Northwest email preferred)

* Classification

Phone Number:

Vehicle Information

Vehicle License Number:
State:
Vehicle Make:

Ticket Information

Date of Violation: (format: MM/DD/YY)
Ticket Number:
Location:

Briefly state the basis of your appeal.