	CITY OF CAMBRIDGE Traffic, Parking & Transporation 344 Broadway Cambridge, Massachusetts 02139 www.cambridgema.gov/traffic

Susan E. Clippinger, Director	Phone: (617) 349-4700
Brad Gerratt, Deputy Director	Fax: (617) 349-4735

PARKING TICKET DISPUTE FORM

= Required Field


Today Date :	07/05/2008
First Name:
Last Name:
Street Address:
City:
State: (e.g. MA)
Zipcode:
Email Address:
Day Time Phone Number: (e.g. (617) 555-0000)
License Plate Number:
License Plate State: (e.g. MA)
Ticket Number: (e.g. 12345678-9)
Date Issued: (e.g. 01/01/2004)
Street Name:(from ticket)

Please Check Reason for Dispute

Meter Complaint:

Meter Number: (e. g. Mass-0010)

	Jammed
	Quarter not registering
	Other

HP Placard in Vehicle:		Placard Number:
Please note that all Handicap Parking Ticket Disputes must be mailed with a copy of the valid Handicap Placard. They will not be accepted on-line.
Valid Visitor Permit on Dashboard:		VP Permit Number:
Valid Resident Parking Permit:		RPP Permit Number:
Missing Sign:
Parked Across Own Driveway:

Other :