[City of Sacramento] Citation Action Request

CITATION ACTION REQUEST

Type of Request

Shopper Ticket

Dismissal Request

Expedite Citation Review

Submitter's Name

Submitter's Email

Citation Number

Citation Date and Time

Meter Number (If applicable)

Location from Citation

Violation

Violation from Citation

Time Vehicle was parked

Issues with Citation

Yes

Description of issues with Citation

Reason for Dismissal

Officer’s Name

**Citation must be contested prior to completing this form**

Origin of Contest

Managed Lot

City Manager's Office

City Mayor's Office

City Council's Office

City Departmental Official

Outside Agency

Requestor’s Name

Requestor’s Email and/or Phone Number

Reason for contest

Photo of Citation & other attachments

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Remarks