Provo City Hearing Examiner
 351 West Center, P.O. Box 1849, Provo, UT 84603
Provo City is not responsible for lost or delayed e-mail.
Full Name
Email
Address Apt
City
State Zip
Telephone
Today's Date
Ticket #
Violation
Violation Location
Vehicle License
Officer Badge Number

On the Day of A notice of infraction was issued for a Parking violation involving my vehicle.
I wish to contest the infraction for the following reason(s).

Please fill out your statement of appeal, read the entire form and submit.

The Hearing Officer's decision will be mailed to the address you provided. If you do not receive the decision within 10 working days, you will need to call the Hearing Office at (801) 852-6542 for the decision. DO NOT ASSUME YOUR CITATION HAS BEEN VOIDED.