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:
Pay the fine at the Bursar's Office.
Attach the paid receipt and the pink copy of the ticket to the appeal form.
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
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
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: ___
KSU is an equal educational and employment opportunity/affirmative action institution