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Angel Parking Ticket Appeal Form 1 of 1 PPD FRM -509 DEPARTMENT STAMP RECEIVED BY:__________ PLAINFIELD POLICE DEPARTMENT 14300 S. COIL PLUS DR. PLAINFIELD, IL 60544 (815) 436-6544 – Fax: (815) 436-1486 ANGEL PARKING TICKET APPEAL FORM YOUR NAME TELEPHONE # CELL PHONE OR PAGER # YOUR ADDRESS CITY STATE ZIP CODE SPECIAL NOTE: Administrative Ordinance and Traffic Tickets CANNOT be Appealed. A Court date may be requested.TICKET NUMBER (TOP RIGHT SIDE OF TICKET) VIOLATION DUE DATE I would like to appeal the issuance of this ticket on the following grounds: AUTHORIZED ANGEL PARKING BUSINESS OWNER’S COMMENTS THE PARKING TICKET LISTED ABOVE IS AUTHORIZED FOR AN ANGEL PARKING APPEAL...BUSINESS OWNER’S SIGNATURE DATE NOTE: If your appeal is UPHELD , no further action is required on your part. If your appeal is DENIED , you will be notified by mail and you may either pay the fine or request or court date to have your case heard by a Judge. You may call the Records Unit at 815-436-6544 for more information. DISPOSITION: APPEAL UPHELD APPEAL DENIED SUPERVISOR’S COMMENTS SUPERVISOR’S SUGNATURE BADGE # DATE ACTION:1) Appeal Form To Appeal File. 2) Original Ticket Annotated. 3) LRMS Updated. 4) Appeal Log Updated DISPOSITION: APPEAL UPHELD APPEAL DENIED CHIEF OF POLICE (OR DESIGNEE) SIGNATURE BADGE # DATE PLEASE PRINT LEGIBLY * * * DO NOT WRITE BEYOND THIS POINT * * * POLICE DEPARTMENT USE ONLY * * *