Safety Incident Report
Campus Security Authorities
Hope College Department of Campus Safety
178 East 11th St.
Holland, Michigan 49423
*APPEAL FORM MUST BE SUBMITTED WITHIN 30 DAYS OF THE CITATION*
*APPEAL FORM MUST BE FULLY COMPLETED TO BE VALID*
Hope ID #:
In the space provided below, state with
clarity, all reasons and basis for your appeal.
| Campus Safety| 178 E. 11th Street| Holland, MI
email@example.com | phone: 616.395.7770 | fax: 616.395.7768