Name

Address (Campus address if resident or Faculty/Staff)

Email

Phone ( ) - -

Parking Permit # Check box if you do not have a Bellarmine parking permit

Select One : Student     Faculty / Staff     Guest / Other

Violation # (Located in top right corner of citation)

Date of Violation

Time of Violation

License Plate #

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Make Model Color

Location Officer #

Citation Remarks

Violation Charge :     No Permit Expired Permit     Restricted Area Fire Lane     Handicap Improper Parking     Stop Sign Violation Reckless Driving     Other Boot Charge     Admissions Area Visitor Area

Format of Your Explanation: Describe the facts of the matter. List the circumstances: when the incident occurred, where it occurred, and how or why it occurred. If an emergency or other extenuating circumstances are presented as cause for appeal, supporting documentation should be e-mailed (trafficappeals@bellarmine.edu). Include in the e-mail your citation number. E-mail any photographs, maps or diagrams of the parking space in question, if you believe it will help the Parking and Safety Committee understand the basis of your appeal. Include in the e-mail your citation number. Explain how your action did not constitute a violation by applying the parking regulation in question to the facts you have discussed.

Appeal Comments