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Request for Informal Review of Parking Citation

  1. Process for Submission
    Do not pay your citation if you plan to dispute it. Complete, print out and return this form within 21 calendar days of issuance of the parking citation. Return your printed form and any attachments using one of the following methods: Bring to 1010 10th Street, Second Floor, Suite 2100, Fax to 209-491-5920 or Mail to PO Box 3063, Modesto, CA 95353.
  2. Are you filling this out within 21 days of the citation issuance?*
  3. Dispute Aknowledgement*
  4. Provide Copy of Citation
  5. Type your name in box for signature.
  6. Leave This Blank: