Millikin University
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Parking Violation Appeal

Appeals will not be accepted more than 15 days after the issuance of the violation. The decision of the appeals committee is final. Each ticket must be appealed on a separate appeal form. Copies of appeals will not be accepted. 

**ALL EMPTY FIELDS MUST BE FILLED IN.  IF PRINTING OFF THE FORM AND WRITING THE INFORMATION IN IT MUST BE LEGIBLE**.

Personal Information
First Name:
Last Name:
Appeal Date:
Home Address:
Home City, State, ZIp:
Home Telephone:
School Address:
School Telephone:
University ID#
   

Violation Information
Violation Date:
Ticket #:
Violation #:
Assessments $:
Decal #:
Faculty/ Admin:
Student:
  Year:

Facts of the appeal:

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