Concordia University Ann Arbor

CAMPUS SERVICES

Ticket Appeal

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Ticket Appeal

Name:
Campus Address or Local Address:
Phone Number or Extension:
E-mail Address:
Ticket Number:
Date of Ticket:
Make of Car:
Model of Car:
Color of Car:
License Plate Number:
Permit Number (if applicable):
Reason for appealing the ticket (please be as thorough as possible):

How would you like to be contacted regarding the outcome of the appeal?
E-mail Phone Campus Mail

To submit this information, you have two options.

Option 1: Print this page, fill it out, and send it via campus mail to the Department of Public Safety.

Option 2: Provide all of the requested information in an email to security@cuaa.edu

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