City of Temple Terrace Customer Service

Parking Ticket Appeal Form

2. Seal of the Temple Terrace Police Department
   

3. Temple Terrace Police Department Parking Ticket Appeal Form
   Phone: 813-506-6500 Fax: 813-506-6499

   Phone: 813-506-6500 Fax: 813-506-6499

5. If you wish to appeal a parking ticket, please fill out the fields below and a representative of the agency will contact you.

   If you wish to appeal a parking ticket, please fill out the fields below and a representative of the agency will contact you.

7. Last Name*

8. First Name*

9. M.I.

11. Address 1*

13. Address 2

15. City*

16. State*

17. Zip Code*

19. Phone Number*

20. E-mail*

22. Parking Ticket Number*

23. Date Issued*
    Date Issued

25. Violation*

27. Vehicle License Plate #*

28. State*

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field