Santa Ana, CA · Orange County

No notary required

Wireless Facility Waiver Form

Wireless facility applicants use this form to request a waiver of City guidelines or standards and provide project and applicant contact information.

What this form is

The form lets an applicant request a waiver of City guidelines or standards for a wireless facility and explain the reason for the request. It asks for project details, applicant contact information, the requested waiver type, and a certification signature and date. The form also provides space for the City’s determination and any applicable references to standards or guidelines.

Who needs it

Applicants seeking a waiver of City guidelines or standards for a wireless facility use this form to explain and certify their request.

How to submit it

File the completed form in person with the City at a pre-scheduled appointment, as directed by the form.

About notarization

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

How to submit this form

  1. 1

    Download The Form

    Download the Wireless Facility Waiver Form.

  2. 2

    Complete The Form

    Select the waiver type, explain the request, enter project and applicant contact information, and sign and date the certification.

  3. 3

    Review References

    Include references to applicable City standards or guidelines, if applicable. The form does not specify attachments.

  4. 4

    Submit To The City

    File the completed form in person with the City at a pre-scheduled appointment.

Frequently asked questions

What does the Wireless Facility Waiver Form request?
It requests a waiver of City guidelines or standards and asks for the reason, project information, applicant contact details, and a signed certification.
Who uses this form?
Applicants seeking a waiver of City guidelines or standards for a wireless facility use the form to explain and certify their request.
Do I need a notary for the Wireless Facility Waiver Form?
No. The form has a signature and date line but no notary block; it lists no notarized or sworn attachment.
How do I submit the Wireless Facility Waiver Form?
File it in person with the City at a pre-scheduled appointment, as the form directs.

Need something notarized?

This Wireless Facility Waiver Form doesn’t need a notary — but if you have another Santa Ana form that does, a commissioned online notary can help.