SHIELD.JPG (358038 bytes)

CALIFORNIA STATE UNIVERSITY 
POLICE DEPARTMENT
25800 CARLOS BEE BLVD 
HAYWARD, CA 94542-3053 
PH (510) 885-3791     FX (510)885-3594 

              upd@csuhayward.edu


                     Parking Citation Initial Review Form



 

                                   Complete All Applicable Areas And Deliver To CSUEB-UPD
I am a: Student Faculty Member Staff Member Visitor
Citation #: License Plate #: Parking Permit #:
I delivered this form: In Person Mailed It Faxed It E-Mailed It

Last Name:
First Name:
Street Address:
City:
State:
Zip:
Telephone:
Email:



I request that the citation I received be dismissed for the following reason: