PARKING APPEAL FORM Please complete the form and submit it to Student Affairs Office by clicking the submit button. Appeals must be filed within fourteen (14) days of the date of the violation. Please be sure to include all requested information since incomplete appeal forms will not be considered. You will be notified by email regarding the outcome of your appeal request. If your appeal is approved, you will not need to do anything further. If you are faculty or staff member and your appeal is denied, your paycheck will be reduced by your fine. Please direct all questions regarding the appeal process to Student Affairs at 215-881-7600. Any questions pertaining to the actual ticket should be directed to Safety Services at 215-881-7422. The following are some of the unacceptable reasons for submitting an appeal: Handicap violation, only parked illegally for a few minutes, fire zone or lack of space, no permit. * Your vehicle must be registered prior to submitting this appeal form.*
Visitor Student Faculty Staff PSU ID:
Ticket Number:		Ticket Date:		License No.		State:
Vehicle Owner/Permit Holder:
Address:
Zip Code:
Person Appealing violation: (if different from above)
Address:
Zip Code:
Phone Number:
Email:
Reason For Ticket:	No Permit Fire Zone Handicapped Other Reason if "Other" is selected:
Basis for Appeal: