Montclair, CA · San Bernardino County

No notary required

Application for Refund

Montclair property owners or authorized agents use this application to request a refund of permit, plan review, or associated fees paid to the Building Division.

What this form is

Use this application to request a refund of permit, plan review, or associated fees paid to the Division of Building and Safety. It includes options for erroneously collected fees, cancellation before work starts, or another reason, and asks for the permit record number, project address, claimant contact details, refund justification, and signature. A copy of the payment receipt must be attached.

Who needs it

The original payment maker or project applicant, or an authorized agent entitled to the refund, can submit a request using this application.

How to submit it

Submit the completed request to the Building Division at 5111 Benito Street, Montclair, CA 91763, with a copy of the payment receipt attached.

About notarization

This document is signed and dated without a notary; attach a copy of the payment receipt, and the claimant signs the certification.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Refund PDF.

  2. 2

    Complete The Form

    Enter the permit record number, project address, claimant details, refund reason, and requested information.

  3. 3

    Attach The Receipt

    Include a copy of the payment receipt with the request.

  4. 4

    Submit To The Building Division

    Submit the completed application and receipt to the Building Division at 5111 Benito Street, Montclair, CA 91763.

Frequently asked questions

What fees can I request a refund for?
The application covers permit, plan review, and associated fees paid to the Division of Building and Safety. It offers refund reasons including erroneously collected fees and cancellation before work starts.
What should I attach to the refund application?
Attach a copy of the payment receipt. The form also asks for the permit application or record number, project address, claimant information, and reason for the request.
Do I need a notary for the Application for Refund?
No. The form is signed and dated without a notary. Attach a copy of the payment receipt, and the claimant signs the certification.
How do I submit the Application for Refund?
Submit the completed request to the Building Division at 5111 Benito Street, Montclair, CA 91763, with a copy of the payment receipt attached.

Need something notarized?

This Application for Refund doesn’t need a notary — but if you have another Montclair form that does, a commissioned online notary can help.