Your appeal must be submitted within 7 days of ticket date.  If this appeal is turned in after 7 days of issuance of ticket, the appeal will not be considered.

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All fields must be filled in properly in order for your appeal to be considered.

Name: PRCC ID#:

Home Address:

City, State, Zip:

Email:  Phone:

Incident Details

Date of Incident:

Where did incident occur?

Witnesses:

Ticket Fine Dorm Dismissal College Dismissal Other

Ticket Number:

Describe the incident in your own words:

 

Your appeal will be reviewed and you will be contacted with the review board’s decision.