Parking Citation Appeal

Use this form to submit an appeal for a parking citation you have received within the last 2 weeks. Appeals will be reviewed by the Student Appeal Board, which meets regularly througout the academic year. Citations will be billed immediately upon processing. Once the appeal is processed by the Student Appeal Board, any appropriate adjustments will be made.

Student ID: *

Last Name: *

First Name: *

Campus Box: *

E-Mail Address: *

Cell Number: *

Please list the date and number found on the citation(s) you received. Please note that you have 2 weeks following the date of a citation to submit your appeal. You may list up to 4 citations below.

Citation #: *

Citation Date: *

Citation #:

Citation Date:

Citation #:

Citation Date:

Citation #:

Citation Date:

Rationale for Appeal: *

Augustana College

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Parking Citation Appeal