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City of Des Moines Parking Ticket Appeal
This form must be submitted within seven business days after issue date of ticket
This is an Administrative Review Process. Please complete this form if you believe the parking ticket received by you is unwarranted because the facts alleged on the ticket fail to show an ordinance was violated or the parking meter was inoperable and you reported it within 24 hours after issue of the ticket. An Administrative Review Panel will consider the matter and make a determination on the merits of your case. Be complete, and include any documentation and/or diagrams, as this is the only evidence that will be considered by the review panel. A copy of the panel's decision will be mailed to you.
Questions? Contact the City Clerk's Office,
400 East 1st Street, Des Moines, IA 50309-1891 (515)283-4125

Name:
Address:
City:
State:
Zip:
Daytime Telephone:
- -
Social Security or Drivers License Number:
Ticket Number:
Date Ticket Issued
Vehicle License Number:
Vehicle Description:
Relationship to Vehicle Owner:
(if applicable)
S.S or D.L. of Vehicle Owner:
(if applicable)
Violation Type: Overtime: Illegal: Handicapped:
If Handicapped, include permit Number below:
Reason for Appeal:
Your Email Address:
Today's Date:
Signature:
(TYPE YOUR NAME TO SERVE AS YOUR SIGNATURE)
CAUTION: Any statement made on this form may constitute an admission on your part.
If you receive a "not voided" decision, the matter may be appealed to Polk County Associate District Court for judicial determination. If you request judicial determination, you must notify the City Clerk's Office in person within seven business days of the date of the response, that you wish the complaint be filed immediately, and you must sign a promise to appear. At that time you will be given an appearance date. This date will be approximately two weeks from the date of your request and will be either 9:00 a.m. or 1:30 p.m. At the appearance you will only be asked to plead guilty or not guilty - trial will not be held on that day. If you plead guilty, you will pay the ticket and court costs. If you plead not guilty, a trial date will be set. If found guilty at trial, you will pay the ticket and court costs.
   
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