The Municipal Court Of Atlanta Parking Dispute Form printable pdf download

The Municipal Court Of Atlanta Parking Dispute Form

THE MUNICIPAL COURT OF ATLANTA

PARKING DISPUTE FORM

To request a court hearing you must submit this form in person, send this form by mail to the address listed

below, or e-mail this form to

MCParking@atlantaga.gov

within 14 days of issuance of the ticket.

Please print legibly when completing this form. Also, please note that a copy of the parking ticket must be

included so that this request can be properly processed.

Date: ________________________________________

Parking Ticket Number: ________________

Defendant’s Name:

_________

Date of Violation:

Defendant’s Address: ________________________________________________________________

City: ________________________________

State: __________

Zip: ______________

I wish to appear in court on this case and to have the witnesses, including the officer who wrote the ticket

present. I hereby attest that the below statement is true and correct. I also understand the penalty for providing

incorrect, false or misleading statements may lead to criminal prosecution.

_____________________________________________

______________________

(Signature)

(Date)

Affidavit (describe why you believe you should not have been ticketed). Please be specific and print legibly

to ensure your form can be processed in a timely manner.

__________________________________________________________________________________________

*NOTE: ON APPEAL, THE COURT MAY IMPOSE A PENALTY UP TO $1,000.00 AS PROVIDED BY LAW.*

THE LENWOOD A. JACKSON SR. JUSTICE CENTER

150 Garnett St., S.W. Atlanta, GA, 30303-3612

888-266-1360

MCParking@atlantaga.gov

The Municipal Court Of Atlanta Parking Dispute Form