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KENTUCKY STATE UNIVERSITY PARKING DIVISION 400 East Main Street Frankfort, KY 40601 elephone: 502-597-5986 Fax:502-597-5827

How to file an appeal:

Today's Date: ___

Today's Date

An appeal that does not have the required documents will not be considered.

The appeal process is as follows:

  1. Pay the fine at the Bursar's Office.
  2. Attach the paid receipt and the pink copy of the ticket to the appeal form.
  3. Submit the appeal to the Parking Office within 14 days of the date the vehicle was cited.

The Appeals Committee evaluate the appeal and render a decision in accordance with the parking regulations. Explain the circumstances; when, where, and why it occurred. Remember, the issue in the appeal is not whether the parking regulations are fair, but whether the regulations were violated.

The decision of the Parking Appeal Committee is Final.

Violator's Information: Check one: Employee Visitor

Employee
the
Student

Name: ___

Name [1]

Address: ___

Address

___

Name [2]

(Include: city, state, zip and apartment# if applicable)

KSUID#: ___

KSUID

Telephone: ___

Telephone

Date of Violation: ___ License Plate#: ___ State: ___

Date of Violation
License Plate
State

Parking Ticket#: ___ Make: ___ Model: ___ Color: ___

Parking Ticket
Make
Model
Color

Permit#: ___

In the space below type or print statement. (please print legibly
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]
[14]

Violator's Signature: ___

DO NOT WRITE BELOW THIS LINE*****

Date Received: ___ Signature of person receiving form: ___

Date Completed: ___