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Traffic Appeal Form

Traffic Appeal Form

 

Leave no field blank if the requested information exists.

 

Name

   
 

Local Address 1

Local Address 2

 

City, State & Zip

Phone Number

 

Social Security #
 or Student ID

E-mail Address

 

Status (check one)

If Other, please specify:

 

Please enter the information from your Traffic Citation in the fields below. Any deviation or omission of any field could cause a delay in your appeal. Use the diagram to determine the required information is entered in the correct location.

Citation Number

License Number

License Year

License State

Date & Time

Permit Type

Permit Number

Officer

Make/Color/Style

Violation Code

Location

 

Officer's Comment

 

Required: TO BE COMPLETED BY APPELLANT: In the space provided, state the reasons why you believe this citation is improper or invalid. Be specific and include as much detail as possible.

 
 

TRAFFIC APPEAL PROCEDURES AND REGULATIONS

 

Please read the Traffic Appeal Procedures and Regulations before continuing. By clicking the box labeled "I ACCEPT" below, you are electronically signing the form. You may click the "Police Home" button below to return to the University Police Home Page.

 
 

I hereby certify that the information I have provided is true and correct. I also understand that any statements made on this form are subject to the WFU Honor Code and may result in campus judicial action.

 
 

You will receive notification of your appeal outcome at the email address provided above.

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PRIVACY POLICY: This is a secure form - all submissions are encrypted in transit. Wake Forest does not use the information for other than its intended purpose. It is neither distributed nor sold.

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