Massbay Comunity College

Parking Ticket Appeal Form

 

As outlined in the Massachusetts General Laws, requests for hearings must be submitted for consideration within 21 days of issuance of a parking violation. Completion of all data requested below will assist the hearing officer to quickly respond to your request for an appeal. (All fields must be completed.) If you do not file an appeal within 21 days, your appeal will automatically be denied. Please proceed to Pay Parking Fine

 

* First Name:  
* Last Name:  
*Street Address:  
* City:  
* State:  
* Zip Code:  
* Email:
* Phone Number:  
* License Plate Number:  
* License Plate State:  
* Ticket Number:  
* Date Issued:  
* Location From Ticket:  
* Parking Decal Type:  
Please Check Reason for Dispute
Please provide a detailed reason for the basis of your appeal here:
 


Handicapped Placard in Vehicle
Please note that all handicap parking ticket disputes must be mailed with a copy of the valid Handicap Placard. They will not be accepted online.

Handicapped Placard Language
 

Placard Number
Other Comments:  
 

MassBay Privacy and Data Protection Policy *

 PLEASE TYPE YOUR INITIALS IN THE FIELD TO SHOW YOU HAVE READ THIS STATEMENT. MassBay Community College Personal Information and Data Collection, Access, Use, and Privacy Policy (including FERPA and GDPR). MassBay collects only the data necessary to admit students to events and academic courses. We do not share data with commercial firms, nor with other public instiutions or individuals. You can access your data, make corrections, and ask MassBay to delete your data. Students are covered under Family Educational Rights and Privacy Act FERPA, a U.S. federal law. To learn about your rights under FERPA, please visit http://www.massbay.edu/ferpa. Students, event attendees, job applicants - Please see http://www.massbay.edu/website-policy for more details about GDPR and other protections.

 Please Enter Initials*