Corte Madera, CA · Marin County
Advance Deposit Hardship Waiver Request
This request lets a person cited by the Town of Corte Madera ask for a waiver of the advance deposit because of financial hardship.
What this form is
A person who receives an Administrative Citation can use this request to explain why they cannot afford to deposit the entire fine amount in advance. The request asks for contact and citation details, a written explanation of financial hardship, and supporting documents the applicant wants considered. The signer declares under penalty of perjury that the information is true and correct.
Who needs it
A person cited by the Town who is financially unable to deposit the full fine amount in advance may file this hardship waiver request.
How to submit it
Return the request by mail or in person within 30 days of the citation issue date to the Town Clerk’s Office, 300 Tamalpais Drive, Corte Madera, CA 94925.
About notarization
This document is signed without a notary; the signer declares under penalty of perjury that the request and attached documents are true and correct.
How to submit this form
- 1
Download The Request
Download the Advance Deposit Hardship Waiver Request.
- 2
Complete The Request
Enter your contact and citation details, explain why you cannot deposit the full fine, then sign and date the declaration.
- 3
Gather Supporting Documents
Attach any documents, materials, or information you want the Town to consider in support of your request.
- 4
Submit To The Town
Return the request by mail or in person within 30 days of the citation issue date to the Town Clerk’s Office.
Frequently asked questions
- Do I need a notary for the Advance Deposit Hardship Waiver Request?
- No. The form does not require a notary, but the signer must declare under penalty of perjury that the request and attached documents are true and correct.
- How do I submit the hardship waiver request?
- Return it by mail or in person within 30 days of the citation issue date to the Town Clerk’s Office at 300 Tamalpais Drive, Corte Madera, CA 94925.
- What information and documents does the request ask for?
- It asks for your name, citation number and issue date, address, phone number, and an explanation of financial hardship. You may attach documents supporting your request.
Need something notarized?
This Advance Deposit Hardship Waiver Request doesn’t need a notary — but if you have another Corte Madera form that does, a commissioned online notary can help.