Sullivan University - Public Safety - Parking Citation Appeal Form

Parking Citation Appeal Form (Louisville ONLY)

Lexington Campus: Individuals wishing to appeal a citation are directed to the Department of Public Safety.

All citations must be appealed within 5 business days of the citation issue date.

**ALL FIELDS ARE REQUIRED TO PROCESS APPEAL

Appellant Information: First Name:
Last Name:
Middle Initial:
Student ID:
Street Address
City:
State:
Zip Code:
E-mail Address: (You must put in a valid email address.)
Phone Number:

Citation Information: Citation Number: (The citation number can be found on the top of the citation)
Citation Issued Date: MM/DD/YYYY
Permit Type:
Permit Number:
Basis for Appeal: