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Test Offset Appeal Request Form:

Date of Request:
Account #:
Name:
Address:
City:
State:
Email:
Reason for Appeal (select one):
Amount is Incorrect
Not the Registered Owner on Date of Violation
Challenging Referral of Debt to the Offset Program / Other (list below)
 
 

* Please include / attach any documentation / pertinent circumstances to support your claim


The validity of the City's Automated Traffic Enforcement program,
and citation itself, are no longer subject to appeal.
Per Cedar Rapids Municipal Code section 61.138(c), the vehicle owner shall be liable.

 

  Type of Hearing Requested (select one):
    In Person
    Phone
   
     
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