Notice Of Appeal Form

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Maggie Benston Centre - Room 0027
8888 University Drive
Burnaby, BC V5A 1S6
Telephone: 778-782-5534 Fax: 778-782-5386
P A R K I N G S E R V I C E S
parking@sfu.ca
Appeal #
NOTICE OF APPEAL
Section 1 – to be completed by appellant (please print)
Name:
Citation #: _____________________
Address:
Licence Plate #:_________________
City:
Province:
SFU I.D. #:_____________________
Country:
Postal Code:______________ Email:_________________________
*Please ensure that this information is complete and correct
Phone Number:__________________
Section 2 – to be completed by appellant
If your appeal is denied by Parking Services it will be forwarded to the PARC Committee hearing.
Would you like to attend the PARC Committee hearing? Yes __ No __
If yes, you will be notified by email with the date and time of the hearing.
Please use the following space to state the basis of your appeal
:
(if you require more space please attach a separate sheet)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature:___________________________________ Date:___________________________________
Section 3 – to be completed by Parking Services
Date Appeal Received:_______________ Received by:_______________ Flex I.D._______________
Parking Services Decision:
___GRANTED…...Refund Amount $_______________
___DENIED……...Forwarded to PARC
___MORE INFORMATION REQUIRED
Comments:___________________________________________________________________________
____________________________________________________________________________________
Authorized Signature:________________________________
Date:____________________________
Section 4 – to be completed by The Parking Appeals Review Committee
Parking Appeals Review Committee Decision: ___GRANTED…..Refund Amount $_______________
___DENIED
Comments:___________________________________________
____________________________________________________
PARC REVIEW STAMP
______________________________________________________________________________
Due to the volume of appeals reviewed by the committee, replies will be the “yellow” copy of this Notice of Appeal. This will be forwarded to the above address
by mail. All decisions made by the committee in accordance with SFU Policy AD 1.03 shall in each case be final.
PLEASE READ REVERSE SIDE
White – Parking Services
Yellow – Parking Services, return to appellant with reply
Pink – Appellant’s initial copy

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