San Juan Capistrano, CA · Orange County

No notary required

Request for Advance Deposit Hardship Waiver Regarding Request for Administrative Hearing

People requesting an administrative hearing for a citation use this form to ask the city to waive the fine’s advance deposit because of financial hardship.

What this form is

This form lets a person requesting an administrative hearing for a citation ask the city to waive the required advance deposit because of financial hardship. It asks for citation and contact information, a description of the hardship, and supporting financial documents. Nonprofit organizations are also asked to submit their articles of incorporation.

Who needs it

People requesting an administrative hearing for a citation who cannot pay the advance deposit because of financial hardship can use this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; it includes a declaration under penalty of perjury and requires supporting hardship documents.

How to submit this form

  1. 1

    Download The Form

    Download the advance deposit hardship waiver request form.

  2. 2

    Complete The Form

    Enter the citation number, citation date, contact information, and details of the financial hardship.

  3. 3

    Gather Supporting Documents

    Attach a copy of the citation and supporting financial documents; nonprofit organizations should also include articles of incorporation.

  4. 4

    Submit To The City

    Submit the completed form and attachments to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the advance deposit hardship waiver?
No. The form is signed and dated without a notary. It includes a declaration under penalty of perjury and requires supporting hardship documents.
How do I submit the hardship waiver request?
The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
What documents should I attach?
Attach supporting documents that demonstrate financial hardship. Examples include tax returns and schedules, financial statements, loan applications, bank records, and income and expense records.
What should a nonprofit organization include?
The form asks nonprofit organizations to also submit their articles of incorporation.

Need something notarized?

This Request for Advance Deposit Hardship Waiver Regarding Request for Administrative Hearing doesn’t need a notary — but if you have another San Juan Capistrano form that does, a commissioned online notary can help.