INITIAL REVIEW TO CONTEST A PARKING CITATION

INITIAL REVIEW TO CONTEST A PARKING CITATION
This Request for Initial Review must be postmarked within 21 calendar days of the issuance of the citation or within 14 days of the mailing of the original Notice of Delinquent Parking Violation for the request to be acted upon.
In order for your request to be processed, the following information must be provided and will not be returned:
- Complete one Initial Review form for each citation.
- Include a copy of the Original Citation or the Notice of Delinquent Parking violation.
- If the citation was issued for lack of a required permit or hangtag; enclose a copy, and note the color of the permit or hangtag.
- A handicapped parking citation requires a copy of the placard and the DMV Disabled Person Placard Identification receipt or the vehicle’s registration for a Disabled Person License plate.
Issuing Department:

POLICECODE ENF/COMMTY PRESCONV CTR/STADIUMSTREET SWEEPINGFIRE
Citation #:*
License Plate #:*
Violation Code:
Date and Time Issued:*

MonthDayYear
Date
Hour Minutes
Violation Location:*

Street Address

Street Address Line 2

City

Zip Code
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Daytime Phone Number:*
Number of Violations on this Citation (1, 2, or 3):
The reason(s) I am contesting this parking citation is/are:*
I certify that the foregoing is true and correct*

Clear
Signature
Date:

MonthDayYear
Date
Upload Supporting Documents:

Cancelof
The City will conduct a review of your parking citation based upon the information you provide. Your citation will either be canceled or upheld.

The results of the Initial Review will be mailed to you and will also be available online at www.anaheimepay.net
Should be Empty: