-Cameron University-
Student Traffic Appeal Form
Student Government Association
Name: ________________________________________________________________________________________________________
First
Last
CU ID: _________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________
Phone: _________________________________________________________________________________________________________
Email: __________________________________________________________________________________________________________
Ticket Date: Ticket #:
Ticket Location: Plea: Not Guilty of Infraction Guilty, Extenuating Circumstance
Petitioner must attach the following items before submitting, if all items are not submitted it could result in the appeal not being heard:
_____Copy of the Ticket (please retain the original for your files)
_____Written statement as to why the ticket should be appealed. Please be as complete and detailed as possible.
_____Fully completed appeals form
Traffic Appeals Procedure:
*Once all documentation has been submitted and received, it will be submitted to the CUSGA Supreme Court.
*The CUSGA Supreme Court will review the documentation and make a decision based on information provided.
*After a decision is made, the CUSGA Supreme Court will notify the petitioner via email of the decision.
*All decisions are final.
I, the undersigned, agree that all information reported on this form is complete, accurate, and true to the best of my knowledge.
Signature Date____________________
*Appeal Form must be submitted within ten (10) days from ticket citation
*This form is for University Rules and Regulations only. This form does not apply to Municipal Court or District Court violations.
For Office Use Only
Date Submitted: All Documentation Provided: CUSGA Supreme Court Decision:
Appeal Decision Reversed - NO FINE
Appeal Decision Upheld- FINE DUE