Hayward, CA · Alameda County

No notary required

Permit Refund Request

Property owners, contractors, or other payers use this form to request a refund of eligible Hayward permit fees after a project cancellation or fee miscalculation.

What this form is

Use this form to request a refund when a project is cancelled or charges were miscalculated. The document says refunds apply only to permits that expired within a year or less; fees for services already provided and certain listed fees are nonrefundable. It asks for permit and project details, payer and contact information, a reason for the request, and the requestor’s signature and date.

Who needs it

An owner, contractor, or other person or company that paid permit fees may use this form to request an eligible refund.

How to submit it

The form identifies the Development Services Department at 777 B Street, Hayward, CA 94541; it does not state a submission method.

About notarization

This request is signed and dated without a notary; the form lists no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Permit Refund Request PDF.

  2. 2

    Complete The Request

    Enter the permit and project details, payer and contact information, and reason for the refund.

  3. 3

    Sign And Date

    Sign and date the request. The form does not list a notarized or sworn attachment.

  4. 4

    Submit To The Department

    The form identifies the Development Services Department at 777 B Street, Hayward, CA 94541; it does not state how to submit.

Frequently asked questions

Who can use the Permit Refund Request?
The form provides spaces for the owner, contractor, or other payer, along with company or name and contact information. It is for requesting a refund of eligible permit fees.
What information does the request ask for?
It asks for the permit number, project address and work description, payer and contact details, the reason for the refund, and the requestor’s signature and date.
Do I need a notary for the Permit Refund Request?
No. This form is signed and dated without a notary, and it lists no notarized or sworn attachment.
How do I submit the Permit Refund Request?
The form identifies the Development Services Department at 777 B Street, Hayward, CA 94541, but does not give a submission method.

Need something notarized?

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