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District Police
Parking Citation Appeal Form

San Joaquin Delta College Police Department

Your Information
Full Name:
Mailing Address:
Email Address:
Phone Number:
Purpose on Campus:
Citation Information
Citation Number:
Date of Citation:
Time Citation Was Issued:
Issuing Officer:
Location (Loc:):
Violation (Viol:):
Description (Desc:):
Vehicle Information
Year, Make and Model of Vehicle (ie: 1974 AMC Gremlin):
License Plate or VIN Number:
Are you the registered owner of this vehicle?



Parking Permit Information
Please choose which parking permit you were using at the time of the citation and fill out the appropriate section.
Daily Parking Permit
Daily Parking Permit
Semester Parking Permit
Semester Parking Permit
Permit Box Designation (ie: L3-2)

Trans # (ie: 001155)

Time: (ie: 7:03A Mar 23)
Semester and Year (ie: Fall 2011)

Permit Number: (ie: 0793)

State Your Appeal
Why should your citation be dismissed? Please state your appeal here!

By completing this online appeal form and hitting the "Submit Your Appeal" button, you swear and submit that all of the information you have provided is true and accurate.

 

 

San Joaquin Delta College
5151 Pacific Ave
Stockton, California 95207
(209) 954-5151