First Name Last Name Citation Number Citation Number should start with a "Z" followed by 6 digits. Date of Violation? Citation Time What proof do you have that shows a valid fare at time you received citation? A valid activated MTS fare or pass at time of citation (if using stored value, fare must be tapped at a fare validator prior to boarding to be considered valid fare) Broken/inoperable ticket vending machine What type of valid activated fare did you use? Stored Value on PRONTO Card or App Paper Ticket Contactless Credit or Debit Card Valid Fare Information PRONTO Card Number PRONTO Receipt Order Number Bus Number, Route and Stop Trolley Station Location at Station Where within the station did you validate your fare before boarding? Ticket Vending Machine Number Paper Ticket Information Paper Ticket Date Paper Ticket Time Trolley Station Ticket Vending Machine Number Contactless Credit/Debit Card Information Last 4 digits of card number Date Time Trolley Station Location at Station Describe where within the station the fare validator was located Broken Ticket Machine Information Date of when you attempted to buy a ticket but ticket vending machine was broken Time of when you attempted to buy a ticket but ticket vending machine was broken Trolley Station Location at Station (Where within the station was the ticket vending machine located?) Ticket Vending Machine Number Appeal Explanation Copy of citation One file only.512 MB limit.Allowed types: gif jpg jpeg png. Supporting Documentation (e.g. picture of paper ticket, picture of broken TVM, screenshot of validation of PRONTO fare)One file only.512 MB limit.Allowed types: gif jpg jpeg png. How would you like to be notified if your citation is dismissed? Email (This selection allows quicker communication times.) Mail Address Email Address Confirm email Certification I certify to the best of my knowledge that the information on this form is true and correct
