American Canyon, CA · Napa County

No notary required

Notice of Appeal and Request for Hearing

This form lets a person contest a Notice of Violation or Notice of Administrative Citation before an American Canyon Administrative Hearing Officer.

What this form is

Use this form to contest a Notice of Violation or Notice of Administrative Citation before an American Canyon Administrative Hearing Officer. It asks for the notice or citation number, dates, appellant and property details, signature, and the reasons for the appeal. For a citation appeal, the form says the fine must first be paid to the City Finance Department, and the appeal must be filed within 15 days from the correction date.

Who needs it

A person seeking to contest an American Canyon Notice of Violation or Notice of Administrative Citation before an Administrative Hearing Officer needs this form.

How to submit it

For citation appeals, pay the citation fine to the City Finance Department with a copy of this appeal, then file by email at [email protected] within 15 days from the correction date. For other appeals, check the city website for current contact details.

About notarization

This form is signed and dated without a notary; it lists no sworn statement or notarized attachment, so the appellant just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Notice of Appeal and Request for Hearing form.

  2. 2

    Complete the Form

    Enter the notice or citation number, dates, appellant and property details, and all reasons for the appeal; sign and date the form.

  3. 3

    Pay the Citation Fine

    For an appeal of a Notice of Administrative Citation, pay the citation fine to the City Finance Department with a copy of the appeal.

  4. 4

    Submit the Appeal

    For citation appeals, email the form to [email protected] within 15 days from the correction date.

Frequently asked questions

What does the Notice of Appeal form do?
It lets an appellant contest a Notice of Violation or Notice of Administrative Citation before an American Canyon Administrative Hearing Officer.
Do I need a notary for the Notice of Appeal?
No. The form is signed and dated without a notary and lists no sworn statement or notarized attachment.
How do I submit the appeal?
For a citation appeal, pay the fine to the City Finance Department with a copy of the appeal, then email it to [email protected] within 15 days from the correction date. For other appeals, check the city website for current contact details.
What information does the form request?
It asks for the notice or citation number and dates, appellant and property information, the appellant's signature, and the grounds for the appeal.

Need something notarized?

This Notice of Appeal and Request for Hearing doesn’t need a notary — but if you have another American Canyon form that does, a commissioned online notary can help.