Parking Ticket Dismissal Evidence Submission Form
Submit your parking ticket details, explanation, and supporting evidence for dismissal consideration.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parking Ticket Number
*
Vehicle License Plate Number
*
Date of Ticket Issue
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Ticket (Street Address or Intersection)
*
Reason for Dismissal Request
*
Describe the Evidence You Are Providing
Upload Supporting Evidence (photos, documents, etc.)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Evidence
Should be Empty: