Submit Citation Refund Supporting Documentation

Complete the form below and a customer service representative will respond to your inquiry in the order received.

Please attach one of the following documents:

Proof of payment to issuing agency
- Bank/Credit card statement showing agency name and amount paid matching the violation fee
- Copy of a cashed check
- Receipt from Issuing Agency
Proof of a clerical error
Proof of whereabouts

Note: We do not accept time cards, work schedules, or screen shots from agency’s website of citation showing zero balance.

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Your Information

First Name*

Please provide a Primary Contact First Name.

Last Name*

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Email Address*

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Citation Information

Citation/Invoice Number*

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Citation Issue Date*

Format: MM/DD/YYYY

Please provide a valid Citation Issue Date.

Additional Information

Additional information about this Citation Appeal

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