You must have JavaScript enabled to use this form. Contact Information Name Email Phone Select One - Select -StudentFaculty/Staff Date and Time Citation Received Citation Number Type of Violation Reason that you feel the citation was unwarranted. Please describe as clearly and completely as possible. Citation Copy? More Please attach a copy of your citation to this form and submit it no later than 10 days after the citation was issued. You will be notified by email concerning the decision of the committee. Appeal forms without a copy of the ticket will be returned without a decision. Sign here Sign above
