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Parking Ticket Waiver Request

Parking Ticket Waiver Request

Please complete this form to request a waiver of a parking ticket received at Kitsap Transit's
Annapolis Parking Lot.

Citation Number: *

Date of Citation: *

Employer: *

Name: *

E-mail: *

Mailing Address: *

City, State, Zip: *

Are you a registered member of a carpool? *

Yes
No

Are you the carpool manager? *

Yes
No

Carpool number, if applicable: *

Reason for Appeal of Citation: *

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It is the policy of Kitsap Transit to assure that no person shall, on the grounds of race, color or national origin, as provided by Title VI of the Civil Rights Act of 1964, be excluded from participation in, be denied the benefits of, or otherwise be discriminated against under any of its federally funded programs and activities. Any person who believes his or her Title VI protection has been violated may file a complaint. Click here for the Title VI Policy and contact information.