PARKING ABUSE COMPLAINT FORM

Transcript

1 MOTORIST SERVICES PARKING ABUSE COMPLAINT FORM This is a complaint about misuse of a: Disability Placard Handicap License Plate   Improper Use of Parking Space    ___ The vehicle’s license plate number is: __________________________________________ _____________________________ Other markings on the plate include (“taxi,” “commercial”): The Disability Placard number (if applicable) is: ______________________________________ Location of abuse (address, city/town, near landmark): _________________________________ ____________________________________________________________________________ Description of vehicle: __________________________________________________________ Description (and/or name) of person abusing HP parking: ____________________________________________________________________________ ____________________________________________________________________________ Describe activity leading you to believe this is a case of Handicap Parking abuse: ___________ ____________________________________________________________________________ ____________________________________________________________________________ This form must be signed to be processed. Signature: ____________________ __________________________________________ Date: Print Name: __________________________________________________________________ Daytime Telephone Contact Number: ______________________________________________ ________________________________________________________ Current Mailing Address: Note: Please attach additional pages if necessary. Also, please attach copies of ALL supporting documents, including photos and any other documents relating to your complaint. Please mail this form to: Fraud/Motorist Review Unit 2900 Apalachee Pkwy,Rm A327, MS- 87 Tallahassee, FL 32399 You can also email this form to [email protected] or fax to 850-617-3945.

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