UIC Parking - Appeal Form

Directions:

Complete this form online and submit via the Submit Request button at the bottom of this form, or print this form out, fill in the appropriate fields in ink, and return it to the UIC Campus Parking Services Office at the address shown above.

First Name

Last Name

Address

City

State

Zip

Affiliation

I would like to:

Citation Number	Violation Codes	Date	Time

Basis for appeal

I affirm that the facts stated herein are, to the best of my knowledge, true and correct. I understand that if I fail to appear before the administrative appeals officer at the appointed time and without excuse, I waive all rights to an in-person appeal, and the hearing will be based on this written statement. I understand that all decisions of the Appeals Board are final.

Parking Appeal Form