Monterey Park, CA · Los Angeles County
Administrative Citation Hardship Waiver Form
People cited by Monterey Park can use this form to request a hardship waiver of an administrative citation fine.
What this form is
This form lets a person cited by Monterey Park explain why they cannot pay the full administrative citation fine and request a hardship waiver. Submit it within 15 days of the citation, whether or not you appeal. It asks for citation and contact details, a financial hardship statement, employment and income information, assets, and proof of income or other specified records.
Who needs it
A person who received a Monterey Park administrative citation and cannot pay the full fine may submit this form to request a hardship waiver.
How to submit it
Submit the form within 15 days of the citation to the City of Monterey Park, 320 West Newmark Avenue, Monterey Park, CA 91754, or email [email protected].
About notarization
No notary is required; the applicant signs and dates the form and certifies that the information is true and accurate.
How to submit this form
- 1
Download The Form
Download the Administrative Citation Hardship Waiver Form.
- 2
Complete The Form
Enter your citation and contact details, explain your financial hardship, and provide employment, income, and asset information.
- 3
Gather Required Records
Include proof of income, a copy of last year's income tax return, or a payroll stub. Attach extra pages for your hardship statement if needed.
- 4
Submit To The City
Submit the form within 15 days of the citation to the City of Monterey Park by mail or email.
Frequently asked questions
- Do I need a notary for the Administrative Citation Hardship Waiver Form?
- No. The form has no notary requirement; the applicant signs and dates it and certifies that the information is true and accurate.
- How do I submit the hardship waiver form?
- Submit it within 15 days of the citation to the City at 320 West Newmark Avenue, Monterey Park, CA 91754, or email [email protected].
- What documents must I include?
- Submit proof of income, a copy of last year's income tax return, or a payroll stub with the form. You may attach additional pages for your hardship statement.
- Do I have to appeal the citation to submit this form?
- No. The form must be submitted within 15 days of the citation whether or not you file an appeal.
Need something notarized?
This Administrative Citation Hardship Waiver Form doesn’t need a notary — but if you have another Monterey Park form that does, a commissioned online notary can help.