Inglewood, CA · Los Angeles County
Request for Fee Waiver – Administrative Citation
This form lets a person cited for an administrative violation ask Inglewood’s Code Enforcement Division to waive a penalty or arrange payment.
What this form is
Use this request to ask for a fee waiver related to an administrative citation and to propose payment dates and amounts. It asks for citation and personal details, income and employment information, and a signature and date. The form also explains that a person found liable must pay the delinquent amount due and may face further consequences if the matter is not resolved.
Who needs it
A person named as the violator on an Inglewood administrative citation who wants to request a fee waiver or propose payment arrangements should complete this form.
How to submit it
Submit the form to the Development Services Department, Code Enforcement Division, at One West Manchester Boulevard, 4th Floor, Inglewood, CA 90301. The form also lists a fax number: 310-412-8792.
About notarization
This request is signed and dated without a notary; the form identifies no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Request for Fee Waiver – Administrative Citation.
- 2
Complete The Request
Enter the requested citation, personal, income, employment, and payment arrangement information, then sign and date the form.
- 3
Submit To The City
Send the completed request to the Development Services Department, Code Enforcement Division, at the address on the form or fax it to 310-412-8792.
Frequently asked questions
- Do I need a notary for the fee waiver request?
- No. The form is signed and dated without a notary and identifies no notarized or sworn attachment or related step.
- How do I submit the fee waiver request?
- Send it to the Development Services Department, Code Enforcement Division, at the address printed on the form, or fax it to 310-412-8792.
- What information does the request ask for?
- It asks for citation and personal details, income and employment information, proposed payment dates and amounts, and your signature and date.
Need something notarized?
This Request for Fee Waiver – Administrative Citation doesn’t need a notary — but if you have another Inglewood form that does, a commissioned online notary can help.