Loading...
Parking Ticket Appeal Form 1 o f 1 PPD FRM -508 DEPARTMENT STAMP RECEIVED BY:__________ PLAINFIELD POLICE DEPARTMENT 14300 S. COIL PLUS DR. PLAINFIELD, IL 60544 (815) 436-6544 Fax: (815) 436-1486 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 ticke t on the following grounds: Use reverse side if more space is needed . .YOUR 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 infor mation. DISPOSITION: APPEAL UPHELD APP EAL DENIED SUPERVISOR’S COMMENTS SUPERVISOR’S SIGNATURE BADGE # DATE ACTION: 1) Appeal Form To Appeal File. 2) Original Ticket Annotated. 3) LRMS Updated. 4) Appeal Log Updated DISPOSITION: APPEAL UPHELD APP EAL DENIED CHIEF OF POLICE (OR DESIGNEE) SIGNATURE BADGE # DATE PLEASE PRINT LEGIBLY * * * DO NOT WRITE BEYOND THIS POINT * * * POLICE DEPARTMENT USE ONLY * * *