Parking Violations Bureau
Telephone: (989) 779-5300
Date of Appeal
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
License Plate #
Ticket Date(s)
/
Month
/
Day
Year
Date
Ticket Number(s)
Name
Phone Number
Mailing Address
Email
example@example.com
I do not feel liable for this violation because of the following circumstances (please explain in detail):
Print Form
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