Directions:

This form is to dispute parking tickets given in error.  Please include all the information available regarding why you did not commit the alleged parking violation. 

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* First Name

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* Last Name

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* Date

Date / Time

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* Student ID Number

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* Phone Number

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* SMCC Email Address

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* Address Line 1

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* Address Line 2

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* City

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* State

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* Zip Code

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* Ticket Number

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* Date on Ticket

Date / Time

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* Please use the space provided below to describe why you believe the above ticket should be voided.  The completion of this form does not guarantee the removal of this ticket from your record, only that it will be reviewed by the Ticket Dispute Committee.  This form must be completed within 10 days of the date on the ticket.  Disputes will not be considered after 10 days.

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