Santa Ana, CA · Orange County

No notary required

My First Home – Request for Appeal

Applicants use this form to appeal a Santa Ana My First Home Program decision about eligibility or the amount of assistance they may receive.

What this form is

This form lets My First Home applicants explain an appeal of a decision about eligibility or assistance. The document says applicants may appeal within 30 calendar days of the determination letter, but the City cannot approve appeals of requirements set by law or specified housing programs. Applicants select the appeal reason, describe their case, and provide their name, signature, and date.

Who needs it

A My First Home applicant who wants to appeal a determination about program eligibility or the amount of assistance may use this form.

How to submit it

Email the completed form to [email protected]. The form says appeals will be directed to an immediate supervisor.

About notarization

This form is signed without a notary; it includes an under-penalty-of-perjury certification, which the applicant signs and dates.

How to submit this form

  1. 1

    Download The Form

    Download the My First Home Request for Appeal form.

  2. 2

    Complete The Appeal

    Select ineligibility, amount of assistance, or both, and describe the appeal.

  3. 3

    Sign And Date

    Provide your applicant name, signature, and date, and certify the information under penalty of perjury.

  4. 4

    Email The Form

    Submit the completed form to [email protected].

Frequently asked questions

Do I need a notary for the My First Home Request for Appeal?
No. The form has no notary block; the applicant signs and dates an under-penalty-of-perjury certification.
Who can use this appeal form?
Applicants may use it to appeal a My First Home determination about eligibility or the amount of assistance they may receive.
How do I submit the appeal form?
Email the completed form to [email protected]. The form says appeals will be directed to an immediate supervisor.
When can applicants appeal a determination?
The form says applicants may appeal within 30 calendar days of the date of the determination letter.

Need something notarized?

This My First Home – Request for Appeal doesn’t need a notary — but if you have another Santa Ana form that does, a commissioned online notary can help.