Form Center

2. NOTE: The ticket must be issued within the last 14 days. If past 14 days, please contact the court at (517) 351-7000.
4. By submitting this form, I understand and agree to the information outlined here:
   https://www.cityofeastlansing.com/1870/Informal-Hearing-Request
6. Do you need an interpreter?

   1. Yes
   2. No
8. If yes, please provide the requested language
10. Ticket Number*
12. Ticket Issue Date (MM/DD/YYYY)*
14. First Name*
16. Middle Name
18. Last Name*
20. Address 1*
22. Address 2
24. City*
26. State*
27. Zip Code*
29. Day Time Phone (XXX-XXX-XXXX)*
31. Email address*
33. Select the Type of Request

    1. Traffic Request
    2. Parking Request
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field