Do I need a notary for the Appeal of an Administrative Decision?

No. The form does not include a notary block. The signer declares the information true under penalty of perjury and signs and dates the form.

How do I submit the appeal form?

Take the completed form and appeal fee to the City Clerk at City Hall, Third Floor, 6000 Heritage Trail. The form says to make the check payable to the City of Clayton.

What materials does the appeal require?

The form lists a Community Development General Application, processing fee, copy of the written decision, decision date, and a letter explaining why the ruling was improper or erroneous.

When must I file an appeal?

The form says the appeal must be filed within five calendar days of the administrative decision.

Clayton, CA · Contra Costa County

No notary required

Appeal of an Administrative Decision

This form lets a person appeal a City of Clayton administrative decision by providing appellant contact information and an explanation of the claimed error.

What this form is

Use this form to appeal an administrative decision or ruling, and file it within five calendar days of that decision. The form requests the appellant’s contact information, the decision date, a copy of the written decision, and an explanation of why the ruling was improper or erroneous. It also lists a Community Development General Application and a processing fee among the submittal requirements.

Who needs it

A person appealing a City of Clayton administrative decision must complete this form and provide the listed supporting materials.

How to submit it

Take the completed form and appeal fee to the City Clerk at City Hall, Third Floor, 6000 Heritage Trail, Clayton; make the check payable to the City of Clayton.

About notarization

This document is signed without a notary; the signer declares the application true under penalty of perjury, then signs and dates it.

How to submit this form

1
Download The Form
Download the Appeal of an Administrative Decision form.
2
Complete The Form
Enter appellant contact information, the decision date, and your explanation for appealing. Sign and date the certification.
3
Gather Required Materials
Include the Community Development General Application, processing fee, copy of the written decision, and letter of explanation.
4
Submit To The City
Take the form and appeal fee to the City Clerk at City Hall, Third Floor, 6000 Heritage Trail.

Frequently asked questions

Do I need a notary for the Appeal of an Administrative Decision?: No. The form does not include a notary block. The signer declares the information true under penalty of perjury and signs and dates the form.
How do I submit the appeal form?: Take the completed form and appeal fee to the City Clerk at City Hall, Third Floor, 6000 Heritage Trail. The form says to make the check payable to the City of Clayton.
What materials does the appeal require?: The form lists a Community Development General Application, processing fee, copy of the written decision, decision date, and a letter explaining why the ruling was improper or erroneous.
When must I file an appeal?: The form says the appeal must be filed within five calendar days of the administrative decision.

Need something notarized?

This Appeal of an Administrative Decision doesn’t need a notary — but if you have another Clayton form that does, a commissioned online notary can help.