Vehicle Registration - Campus Police

Motor Vehicle Citation Appeal

This field is for validation purposes and should be left unchanged.

Citation No.(s):(Required)

Appeals must be filed within 72 hours of issue.

Citation Date(s):

License No.:

Date

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

On Campus Address, Campus Box #:

Please check here to indicate your signature

Signature

Grounds for Appeal: