I would like to discuss the following parking ticket with the issuing Officer. I hereby request the Officer contact me at his/her earliest convenience.

If this is a handicapped parking violation, and you are the owner of the persons with disabilities placard/registration, include a copy of the placard and your persons with disabilities affidavit.

I understand that a review of this parking ticket will be conducted and furthermore certify that the above statements is true and factual to the best of my knowledge. If the violation is for failing to display a persons with disabilities placard, I attest the I am the owner of this placard and I was the person that parked the vehicle at the time of the violation. I understand that any false statements or misrepresentation of facts may result in criminal prosecution.