1. Appeals must be filed within 72 hours of citation date and time (holidays and weekends excluded).
2. Your appeal will be based on the information provided on this form and any attachments.
3. All decisions rendered by the Traffic Citation Appeals Board are Final.

Appellant information Appellant Name * Appellant Email * Vehicle Owner (if different) Appellant Status Student Visitor Faculty / Staff * Street Address (local address) * City * State - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Outside U.S. * Zip * Phone Citation information Date Appeal Prepared * Date of Citation * Citation Time * License Plate # * License Plate State - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Outside U.S. * Code # from Citation * Citation # * Attachments ? File: Reason for appeal Your appeal will be based on the information provided on this form. * * = Required field