The University of Chicago: Facilities Services

Transportation & Parking Services: Parking

PARKING VIOLATION:  CANCELLATION REQUEST FORM

Fill out and submit this form online, or print this page, fill it out, and submit in person to the Transportation & Parking Office or fax to 773-834-5913.

Contact Information
Name:
Work Address:
Home Address:
City/State/Zip:
Work Phone:
Home Phone:
Cell Phone:
Email Address:
Citation Information
Citation Number:
Date of Citation:
Location:	Select...1017 E 57TH ST1401 HYDE PARK5459 S COTTAGE5733 UNIVERSITY6042 KIMBARK950 E 61STADMINALLEEANATOMYATSBELFIELDBENTON HOUSEBLACKSTONEBOTANY PONDBSD RESEARCH DRBURTON-JUDSONCARLSONCHAPIN HALL LOTCOMMUNITYCOURT THEATRECRERARCULVERCUMMINGSD-CAMDOCKDORCHESTER LOTDREXEL LOTEDELSTONE LOTELLIS LOTENRICOERMANFERMIFIRE LANEFRIEND CENTERGREENWOODHEPHITCHCOCKHOSPITALHULL COURTHULL QUADSHYDE PARK BLVDINGLESIDEINH VIS LOTJUDD LOTKELLYKENTKENWOODKIMBARK LOTKMBK-MOTTLABLASR VIS LOTLAW LOTLEARNING CTRLEXINGTON LOTLOTMANDELLMARYLANDMAX MASONMOTT LOTNGRHNGRH RAMPNORCOIOI DOCKORTHO DOCKORTHOGENICSPARKING LOTPHEMISTERPIERCE LOTPOST OFFICEPRESS LOTPRINTINGQUAD-BONDQUAD-CIRCLEQUAD-ECKHARTQUAD-ENTRANCEQUAD-ERMANQUAD-HARPERQUAD-HASKELLQUAD-HITCHCOCKQUAD-HUTCHQUAD-JONESQUAD-KENTQUAD-MANDELLQUAD-ROSENWALDQUAD-RYERSONQUAD-STUARTQUAD-SWIFTQUAD-ZOOLOGYREG-DOCKREG LOTREO LOT E. HYDE PARK BLVDRIRIDGEWOODROCKEFELLERSEARLE LOTSHORELANDSMART DOCKSMART MUSEUMSSASTAGG LOTSTONY LOTTOW ZONEWAGNER LOTWELLS LOTWILDERWOODLAWN LOTWOODWARD LOTYOUNG LOTZOOLOGYBOOKSTORE1155 BLDG1009 E. 59TH6031 INGLESIDE5840 S. ELLISCHAPIN METER1155 E 57TH DOCKELLIS VIS1155 METERBULLETINKIMBARK TEMPDORCHESTER METER5737 UNIVERSITYELLIS BASEMENTBSLC5555 WDLNBARTLETT DOCKKENWOOD CIRCLEGSB DOCK
Violation Type:	Select...Incorrect permit for lotParked on walk or grassMeter expiredParked in 2 spacesPermit in visitor areaPermit not displayed correctlyParked in hospital, loading dockNo valid permitParked on campus QuadParked in handicapped spacePermit expiredOther
Request Details
Please explain in detail the reasons that the aforementioned citation should be cancelled:
"By signing below, I affirm that the above description is true and accurate. By submitting a fraudulent parking violation cancellation request, I understand that I may have my parking priviledges revoked by the University. Submitting a parking violation request does not guarantee the violation will be cancelled. The Director of Campus Transportation and Parking Services has final say on all violation cancellation requests."
Date: ____________________   Signature: ___________________________ Submission via this form constitutes an electronic signature.
For detailed information about parking on campus, see Parking Policies.