	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) 349-4747

TOW DISPUTE FORM

= Required Field


Today Date:	10/06/2008
First Name:
Last Name:
Street Address:
City:
State:
Zipcode:
Day Time Phone Number: (e. g. (617) 555-0000)
Email Address:
License Plate Number:
License Plate State:
Ticket Number: (e. g. 12345678-9)
Date Issued: (e. g. 01/01/2004)

Reason for Dispute (Limit of 500 Characters)