Parking Violation Bureau

Complaint and Investigation Form

INVESTIGATION FORM
Request a hearing in person Yes No
Your Name:
Address:
City:
State:
Zip:
Parking Infraction Number (Ticket number):
Date Issued:
Meter number:
License Number:
Violation:
Reason for contesting ticket:
Your email address:
Re-Type your email address:

NOTE: ALL FIELDS ARE REQUIRED. PLEASE CHOOSE EITHER YES OR NO IN THE HEARING REQUEST SECTION AT THE TOP OF THE FORM.