Traffic Ticket Appeal Form

This form must be submitted via email within fifteen (15) days of the date on the traffic ticket. Please submit a separate form for each ticket.

Please provide a detailed statement to explain or support your reason(s) for review. Remember to print out a copy of this form for your records. A Traffic Ticket Review Board will render a decision on this appeal and you will be notified via your Rider email of the result. Due to the significant health and safety risks associated with such violations, citations for parking in handicap spaces, fire zones and on crosswalks will require compelling circumstances for reversal. If temporary parking in an unauthorized zone is required (e.g. for loading/unloading), Public Safety must grant permission in advance.

First Name

Last Name

Date

Please enter today's date.

E-mail

Please enter a mailing address that can be used to send you notification of appeal results.

Street Address

City

State

Zip Code

Please select

Faculty

Staff

Student

Visitor

Phone

BroncID

Please enter the following information from your ticket.

Parking Decal #

License Plate

Please include two-letter abbreviation of issuing state before license plate information (ex: NJ xxx-xxx or PA xxx-xxx).

Ticket Number

Date and Time of Ticket

Violation Name

Location of Violation

Reason for Appeal

Bottom

PLEASE NOTE THAT ALL REVIEWS ARE FINAL.

Concerns about the appeal process may be addressed in writing only to:

Office of Community Standards, BLC116, Rider University, 2083 Lawrenceville Road, Lawrenceville, NJ 08648

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Traffic Ticket Appeal Form

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