All Appeal Board Decisions Are Final - Parking Violation Appeal Form - Department Of Safety And Security Parking Office

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For Office Use Only
For Office Use Only
Result of Appeal
The College of Saint Rose
Date Rec'd_________ By______
□
Denied by Board
Department of Safety and Security
Date Reviewed_______________
Please pay Violation at
Parking Office
Prior Violations:
Bursar's Office or Security.
432 Western Avenue
□
Appeal Accepted
Albany, New York 12203
(518) 454-5187
No Payment Necessary.
□
Denied
Appeal Form not complete.
Parking Violation Appeal Form
Please pay Violation.
Please Print Your Name and Address or St. Rose P.O. Box # Below:
To be reviewed, all sections of this form must be
Name:
complete and the ticket must be attached.
Return both copies of this form to the Campus Security
Address:
Office at 340 Western Ave.
You may attach additional sheets as necessary.
City/State/Zip:
ALL APPEAL BOARD DECISIONS ARE FINAL
License Plate
Permit Number
Ticket Number
State
Ticket Date
Vehicle
Ticket
Information
Information
Staff
Commuter
Resident
Visitor/Other
Owner Information (select one)
Saint Rose ID:
Statement of Appeal:
Appeals will not be granted for the following reasons:
1. "I was only there for 5 minutes"
2. "I never got a ticket there before"
3. "Everyone else parked there"
4. "I was already late and couldn't find anywhere else to park"
Signature
Student/Employee ID Number
Date
Appeals Board Comments:

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