*Date of Violation

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*Citation No.

*Vehicle Parking Permit No.

*License Plate Number

*Student ID #

*Name

*Email Address

*Phone

*Address

*City

*State

*Zip Code

You can upload a digital version of your citation in order to speed up the process. Please upload a PDF or image file.

In accordance with California Vehicle Code Section 40215, you have 21 days from the date the violation was issued to submit a request for Initial Review. Please provide a written statement why you believe the citation was issued in error. Include any material (i.e. receipts, pictures, etc.) to support your statement. Materials submitted for review will not be returned. Please type your statement in the space provided below.