EmailMeForm
Citation Appeal
Please complete and submit the following information to appeal a citation. This Citation Appeal Form must be submitted within seven (7) days from the date the citation was issued. Upon submission of this form, you will receive an email notification providing you with instructions pertaining to the appeals process, as well as your scheduled hearing date and location.
Name:
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First
Last
Date of Birth
*
LMU ID Number:
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Permit Number:
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Email:
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Cell Phone:
*
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Citation Number:
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Date Ticket was Issued:
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MM
/
DD
/
YYYY
Dismissal Request Explanation
*
Signature
*
Clear
By signing/checking below, I certify that the information contained herein is factual and accurate.
