University of Notre Dame Parking Office
********TICKET MUST BE ATTACHED********
Appeals must be received in Parking Office within ten (10) days of date of occurrence ---------------------------------------------------------

Name_______________________________  ID #___________________ Telephone  ______________

Ticket Number ____________Date of Ticket__________________  Date of Appeal  _______________

Campus (or local) Address _____________________________________________________________

City _____________________ State _____ Zip _____________ Vehicle Make  ___________________

License __________________ State _____ Decal Number  ___________________________________
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Provide full and accurate explanation detailing basis for appeal.  (Attach additional pages if needed.)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

"I affirm that the foregoing representations are true".

Signed: ____________________________________________ Date:  ___________________________

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** Do Not write Below this Line **
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Decision:
Comments:

Entered HP ____________ Verdict Entered HP ______________  Notice Sent  ___________________
  Parking Office, Campus security Building, Notre Dame, IN 46556-5675