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Gettysburg Appeal a Parking Violation

* Required
*First Name:
*Last Name:
*Email:
Address:
*Telephone Number:
Driver's License Number:
Driver's License State:
Vehicle Make:
Vehicle Model:
*Ticket Number:
Campus(if applicable):
Lot/Area:
Date you received your ticket?
Time you received your ticket?
Please indicate reason for your appeal :

Individuals completing this form are assured that their report is confidential.
 
 
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