Signal Hill, CA · Los Angeles County
Low Income Preferential Parking Fee Waiver Application
Signal Hill residents apply for a preferential parking permit fee waiver by providing household information and proof of income.
What this form is
This application lets eligible Signal Hill households request a waiver of fees for preferential parking permits; guest permits are excluded. Applicants provide household size, total annual gross income, contact details, and proof of income using one of the listed documents. The signer declares under penalty of perjury that they qualify and agrees to notify the city if they move or no longer qualify.
Who needs it
Signal Hill residents who meet the household income guidelines and want a fee waiver for a preferential parking permit should submit this application.
How to submit it
Attach a copy of your 2024 Form 1040, Form 1040EZ, Form 540, Form SSA-1099, or Verification of Benefits form. Return all required documents to the City of Signal Hill, 2745 Walnut Avenue, Signal Hill, CA 90755.
About notarization
This application is signed without a notary; the signer declares eligibility under penalty of perjury and signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Low Income Preferential Parking Fee Waiver Application PDF.
- 2
Complete The Application
Print clearly and provide your contact details, household size, and total annual gross household income.
- 3
Gather Proof Of Income
Attach a copy of one of the listed 2024 income or benefits documents.
- 4
Sign And Date
Sign and date the application, declaring under penalty of perjury that you qualify.
- 5
Return Documents To The City
Return all required documents to 2745 Walnut Avenue, Signal Hill, CA 90755.
Frequently asked questions
- Do I need a notary for the Low Income Preferential Parking Fee Waiver Application?
- No. The application has no notary block; you sign and date it and declare under penalty of perjury that you qualify.
- How do I submit the application?
- Attach one of the listed proof-of-income documents and return all required documents to the City of Signal Hill, 2745 Walnut Avenue, Signal Hill, CA 90755.
- What proof of income does the application request?
- Attach a copy of your 2024 Form 1040, Form 1040EZ, Form 540, Form SSA-1099, or a Verification of Benefits form.
- Which parking permits are covered by the fee waiver?
- The city offers a low-income fee waiver for preferential parking permits, excluding guest permits.
Need something notarized?
This Low Income Preferential Parking Fee Waiver Application doesn’t need a notary — but if you have another Signal Hill form that does, a commissioned online notary can help.