What does the Documentation of Unreasonable Hardship form ask for?

It asks for project and applicant information, accessibility feature details, accessibility status, upgrade costs, and the applicant’s signed certification.

Applicants documenting unreasonable hardship for a project can use the form to provide project information and costs for accessibility feature upgrades.

Do I need a notary for the Documentation of Unreasonable Hardship form?

No. The form has an applicant signature and date line but no notary block, and it identifies no notarized or sworn attachment.

How do I submit the Documentation of Unreasonable Hardship form?

The form lists the City of La Verne address at 3660 “D” Street, La Verne, CA 91750, but does not state how or where to submit it.

La Verne, CA · Los Angeles County

No notary required

Documentation of Unreasonable Hardship

This form documents project details and accessibility upgrade costs for applicants completing the City of La Verne’s unreasonable hardship documentation.

What this form is

The form records project address, description, valuation, stories, and applicant contact information, then lists accessible features and their upgrade costs. Applicants indicate whether each feature is accessible and certify the information with a signature and date; the Building Department also has a signature line. The form references features to be accessible under CBC 11B-202.4 and includes a current valuation threshold.

Who needs it

Applicants documenting unreasonable hardship for a project can use this form to report project information and accessibility feature upgrade costs.

How to submit it

The form lists the City of La Verne at 3660 “D” Street, La Verne, CA 91750, and phone number (909) 596-8713. It does not provide submission instructions.

About notarization

This document is signed without a notary; the applicant signs and dates the certification, and no notarized or sworn attachment is identified.

How to submit this form

1
Download The Form
Download the Documentation of Unreasonable Hardship form.
2
Complete Project Information
Enter the project address, description, valuation, stories, and applicant contact information.
3
Record Accessibility Costs
Indicate accessibility status and enter upgrade costs for the listed accessible features.
4
Sign And Date
Sign and date the applicant certification; the form also includes a Building Department signature line.
5
Submit To The City
The form lists the City of La Verne address, but does not specify submission instructions.

Frequently asked questions

What does the Documentation of Unreasonable Hardship form ask for?: It asks for project and applicant information, accessibility feature details, accessibility status, upgrade costs, and the applicant’s signed certification.
Who uses this form?: Applicants documenting unreasonable hardship for a project can use the form to provide project information and costs for accessibility feature upgrades.
Do I need a notary for the Documentation of Unreasonable Hardship form?: No. The form has an applicant signature and date line but no notary block, and it identifies no notarized or sworn attachment.
How do I submit the Documentation of Unreasonable Hardship form?: The form lists the City of La Verne address at 3660 “D” Street, La Verne, CA 91750, but does not state how or where to submit it.

Need something notarized?

This Documentation of Unreasonable Hardship doesn’t need a notary — but if you have another La Verne form that does, a commissioned online notary can help.