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When completing this form, please use a pen and write legibly 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your last name, first name, and middle initial in the designated fields. Ensure that your handwriting is clear for easy reading.
  3. Fill in your mailing address, including city, state, and zip code. This information is crucial for correspondence regarding your appeal.
  4. Provide both your day and evening phone numbers to facilitate communication.
  5. Enter your vehicle license number and parking permit number accurately to avoid any discrepancies.
  6. In the 'Basis for the appeal' section, clearly articulate all reasons for your appeal. You may attach additional sheets if necessary.
  7. List all citation numbers along with their fine totals in the provided spaces. Double-check these entries for accuracy.
  8. Finally, sign and date the form at the bottom to certify that all information is true and accurate before submission.

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