What can I use this claim for?

Use it to request a refund of tax payments or dispute assessed penalties before the hearing officer. The form lists several appeal types and asks you to state the reason for your claim.

What should I attach to a tax refund claim?

The form says taxes must be paid before filing a refund claim and asks you to attach a copy of your tax bill and proof of payment.

Do I need a notary for this claim?

No. The form has no notary block; the claimant signs and dates a declaration under penalty of perjury.

Alameda County, CA · Alameda County

No notary required

Claim for Refund of Tax Payments or Dispute of Assessed Penalties Before the Hearing Officer

Property taxpayers and people disputing assessed penalties use this claim to request a tax refund or appeal a penalty before the hearing officer.

At a glance

Issued by: City of Alameda County · Alameda County, Alameda County, California
Notarization: Not required: file this form without a notary.
Official source: acgov.org
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This claim is for requesting a refund of paid taxes or disputing certain assessed penalties. It asks for claimant and property details, the parcel and fiscal year, the amount requested, the type of appeal, and the reason for the claim. File one claim per parcel number and fiscal year; attach a tax bill and proof of payment for a refund claim.

Who needs it

A person seeking a refund of paid taxes or disputing an assessed penalty for a parcel in Alameda County may file this claim.

How to submit it

File the claim in duplicate with the Assessment Appeals Unit, Attn: Claim for Refund, at 1221 Oak Street, Suite 536, Oakland, CA 94612. For a delinquent-penalty cancellation or refund, contact the Tax Collectors for the appropriate form.

About notarization

This document is signed without a notary; the claimant makes a declaration under penalty of perjury and signs and dates the form.

How to submit this form

1
Download the Claim
Download the claim form and review the filing instructions.
2
Complete the Form
Provide claimant and property details, select one appeal type, and state the fiscal year, amount requested, and reason.
3
Gather Attachments
For a refund claim, attach a copy of the tax bill and proof of payment.
4
Sign and Submit
Sign and date the claim, make a duplicate, and return both copies to the Assessment Appeals Unit at the address on the form.

Frequently asked questions

What can I use this claim for?: Use it to request a refund of tax payments or dispute assessed penalties before the hearing officer. The form lists several appeal types and asks you to state the reason for your claim.
What should I attach to a tax refund claim?: The form says taxes must be paid before filing a refund claim and asks you to attach a copy of your tax bill and proof of payment.
How do I submit this claim?: File the claim in duplicate with the Assessment Appeals Unit, Attn: Claim for Refund, at 1221 Oak Street, Suite 536, Oakland, CA 94612.
Do I need a notary for this claim?: No. The form has no notary block; the claimant signs and dates a declaration under penalty of perjury.

Need something notarized?

This Claim for Refund of Tax Payments or Dispute of Assessed Penalties Before the Hearing Officer doesn’t need a notary, but if you have another Alameda County form that does, a commissioned online notary can help.