Village of Villa Park
REQUEST FOR MUNICIPAL CITATION REVIEW
This is a request for review of a municipal citation. The citation will stand as issued until this review is complete. The requestor will receive notification as to the final disposition. If you receive a delinquent notice prior to the receipt of the disposition, please disregard. If the citation is sustained, the ticket must be paid or a court date requested as indicated on the ticket. If you have any questions, please contact the PD at (630) 834-7447.

Citation Information:

Citation No.*

Citation Date

Officer

License Plate #

Make of Car

Year of Car

Violation*

Location

Recipient Information:

Name*

Date of Birth

Driver's License Number

Address

City

State

Zip

Daytime Telephone*

Nighttime Telephone

RECIPIENT'S STATEMENTS OF CIRCUMSTANCES AND ACTION REQUESTED:*

Signature*

Date*

Email Address:*