Inglewood, CA · Los Angeles County

No notary required

Request for Hearing – Administrative Citation

This form lets a person contesting an Inglewood administrative citation request a hearing before a Hearing Officer.

What this form is

Use this form to request an administrative hearing to contest an Inglewood citation. The city says the request must be submitted by the due date on the Notice of Violation with the penalty payment or an approved Fee Waiver Request Form. It asks for the requester’s contact information, citation location, due date, penalty amount, citation number, reason for the hearing, signature, and date.

Who needs it

Anyone contesting an Inglewood administrative citation and requesting a hearing before a Hearing Officer needs to submit this request.

How to submit it

Submit the completed request to a Finance Department Customer Service Representative by the due date on the Notice of Violation, with the penalty payment or an approved fee waiver. Make checks or money orders payable to City of Inglewood.

About notarization

This request is signed and dated without a notary; the document mentions 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 Request for Hearing – Administrative Citation.

  2. 2

    Complete the Request

    Fill in your contact information, citation details, reason for the hearing, signature, and date.

  3. 3

    Gather Required Payment or Waiver

    Include the penalty payment or an approved Fee Waiver Request Form.

  4. 4

    Submit to the City

    Submit the request and payment or approved fee waiver to a Finance Department Customer Service Representative by the Notice of Violation due date.

Frequently asked questions

What is the Request for Hearing – Administrative Citation?
It is a city form for requesting an administrative hearing before a Hearing Officer to contest an Inglewood administrative citation.
Do I need a notary for the Request for Hearing – Administrative Citation?
No. Sign and date the request; the document does not mention a notarized or sworn attachment.
How do I submit the hearing request?
Submit it to a Finance Department Customer Service Representative by the due date on the Notice of Violation, along with the penalty payment or an approved fee waiver.
What should I include with the request?
Include the penalty payment or an approved Fee Waiver Request Form. The form asks for your contact details, citation information, reason for the hearing, signature, and date.

Need something notarized?

This Request for Hearing – Administrative Citation doesn’t need a notary — but if you have another Inglewood form that does, a commissioned online notary can help.