Contested Parking Ticket Form

If you would like to contest a parking ticket that was issued by a City of Port Washington Police Officer, you may do so by completing and submitting this form. The form will be submitted to a Port Washington Police Department shift supervisor. Following review by the department, you will be notified by phone or if you request, by e-mail as to the outcome of the review. Please allow 3 days for a response. If you do not receive a response within 3 days, you may call the Port Washington Police Department at (262) 284-2611.

After completing the form below, print it and mail to:

365 N. Wisconsin St., P.O. Box 365
Port Washington, WI 53074-0365

The form may also be faxed to the police department at 262-377-9648

Please Note: If you received a parking ticket issued in the Port Washington Marina, please contact the Harbormaster, Dennis Cherny at (262) 284-6606.

Ticket Number:
Date of Ticket:
License Plate:
Vehicle Make:
Officer Number:
Your Name:
Your Street Address:
Your City:
Your State and ZIP:       ZIP Code:   
Your Phone Number:
Your E-Mail:
Please tell us why this parking ticket should be voided:
The information below is for office use only:

[ ] Approved         [ ] Not Approved

Officer _________________________________________________
Date ___________________________________________________