Public Safety

Parking Violation Appeal Form

NorthWest Arkansas Community College Police Department

PLEASE READ CAREFULLY BEFORE COMPLETING

  1. Any written appeal for consideration by the Parking Committee is to be made at the Advising Center located on the second floor of the Student Center within ten (10) class days of the ticket issue date.
  2. EACH TICKET MUST BE APPEALED AS A SEPARATE FORM SUBMISSION.
  3. An appeal must address the violation and be based on extenuating circumstances that caused the violation under appeal. A lost ticket, forgetfulness, parking only for a short period, failure to properly display a parking permit, and/or not seeing signs or other markings are not grounds for appeal.
  4. Once an appeal has been filed, scheduling of hearings and/or other administrative matters will be at the sole discretion of the Executive Head of the Judicial Committee.

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Appellant Information
  * Appellant First Name:
  Appellant Middle Initial:
  * Appellant Last Name:
  * Appellant Address:
  * Appellant City:
* Appellant State:
  * Appellant ZIP:
  NWACC ID Number:
  * Appellant Email:
  Appellant Contact Phone:  
In the format of: 555-555-5555  
  ext.  
  Citation Number:
  * Citation Date:   
  * Citation Violation:   
If Other:  
  * Reason(s) for appeal. Be specific:
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  * Please certify that you are the individual completing this application by signing it. You may sign it by typing your initials here:
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For questions or comments, please contact gdennis@nwacc.edu or 479-619-4229

This page was last updated on:  October 17, 2013 @ 11:46 am