Hayward, CA · Alameda County

No notary required

Hardship Exemption Request

Project applicants use this request to ask Hayward to consider an unreasonable-hardship exemption from accessibility compliance for a qualifying building or site project.

What this form is

This request asks Hayward’s Development Services Department to consider an unreasonable-hardship exemption from accessibility compliance for a qualifying building or site project. It records permit and project details, costs, accessibility elements proposed for waiver or equivalent facilitation, and the applicant’s statement about the financial impact of full compliance; attachments may be added if necessary.

Who needs it

Applicants for projects above the current DSA valuation threshold may use this form when an unusual condition makes accessibility compliance extremely difficult or cost prohibitive.

How to submit it

Submit the request to the Development Services Department, 777 B Street, Hayward, CA 94541. The form lists 510.583.4140.

About notarization

This request is signed and dated without a notary; the form mentions optional supporting attachments, but no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Request

    Download the Hardship Exemption Request PDF.

  2. 2

    Complete The Form

    Enter the permit, project, applicant, cost, and accessibility details, then provide the applicant’s statement.

  3. 3

    Gather Attachments

    Add supporting attachments if necessary.

  4. 4

    Submit To The Department

    Submit the signed and dated request to Development Services at 777 B Street, Hayward, CA 94541.

Frequently asked questions

Do I need a notary for this request?
No. The request requires the applicant’s signature and date, not notarization. Supporting attachments may be added if necessary, but the form does not identify any as notarized or sworn.
Who can use the Hardship Exemption Request?
The form is for projects above the current DSA valuation threshold where an unusual condition makes accessibility compliance extremely difficult or cost prohibitive.
What information does the request ask for?
It asks for building permit and project details, project costs, accessibility elements and costs, elements proposed for waiver or equivalent facilitation, and a statement about the financial impact of full compliance.
How do I submit the request?
Submit it to Hayward’s Development Services Department, 777 B Street, Hayward, CA 94541. The form lists 510.583.4140.

Need something notarized?

This Hardship Exemption Request doesn’t need a notary — but if you have another Hayward form that does, a commissioned online notary can help.