Appeal of Suspension to the City of Bloomington Board of Park Commissioners
Please complete all required fields in this online form. Upload a copy of the Notice of Suspension issued to the appellant where prompted. Submit the form using the Submit button at the end of the form. After submission, the appellant will receive written notice of the date and time the Board of Park Commissioners will hear the appeal. This notice will be sent to the email address and/or mailing address provided on this form.
Personal Information
Appellant First Name:
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Appellant Last Name:
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Email Address:
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Phone Number:
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Permanent Address:
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Local Address (if different from Permanent Address):
Suspension Details
Date Notice of Suspension was issued:
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Reason for appeal:
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Upload Notice of Suspension:
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Date appeal received:
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Month
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Day
Year
Date
Date appeal forwarded to Legal Department:
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Month
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Day
Year
Date
Date of Board of Park Commissioners hearing on appeal:
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Month
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Day
Year
Date
Date of Board of Park Commissioners hearing on appeal:
Hour Minutes
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Date notice of Board of Park Commissioners hearing mailed:
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Month
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Day
Year
Date
Submit
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