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Personal Information
Affiliation
*
College Student
TGS/TEDS Student
Faculty/Staff
Other:
Other Value
ID NUMBER
*
Name
*
First Name
Middle Name
Last Name
Phone
Email
*
Vehicle Information
License Plate
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Color
*
Trinity Permit Number
*
The permit number is a letter and four numbers. Example: D0123. If you do not have a Trinity Permit, enter "None."
Make
*
Honda, Jeep, Ford, etc.
Model
*
Pilot, Cherokee, Escort, etc.
Citation Information
Date & Time
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
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09
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12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2011
2012
2013
Hour
01
02
03
04
05
06
07
08
09
10
11
12
Minute
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
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31
32
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35
36
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38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM/PM
AM
PM
Type
*
Moving
Standing
Offense
*
Unauthorized Parking
Prohibited Parking
Improper Parking
No Valid Permit Displayed
Running Stop Sign
Failure to Stop For School Bus
Prohibited Driving
Unsafe Motor Vehicle Operation
Winter Parking
Other (explain in appeal box)
Choose from list
Location
*
Gym Lot
Staff Lot
Main Road
Dorm Lot
Commuter Lot
Choose from list
Appeal
Please write your appeal here:
*