Citation Appeal Form
Yavapai College Police Department
Citation Number
*
Driver's Name
*
Student ID Number
Driver's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
License Plane Number
*
Vehicle Year
*
Make
*
Chevy, Toyota, Ford, Nissan
Model
*
F150, Neon, Sportage, Rav4
Explanation of Appeal
*
Submit
Should be Empty: