Redlands, CA · San Bernardino County
Refund Request Form
This form lets claimants request a refund of fees paid to Redlands Building and Safety and explain the reason for the refund request.
What this form is
Claimants use this form to request a refund of fees paid to the Building and Safety Department. The document says a claim must be filed within 365 days of payment and describes conditions for refunds. It asks for the claimant’s contact information, project location, amount and date of payment, and reason for the request; the claimant must sign and date it.
Who needs it
Anyone requesting a refund of fees paid to the Redlands Building and Safety Department should complete this form and provide the required supporting documents.
How to submit it
Submit the completed form and attachments at the Building & Safety service counter, 35 Cajon St, Suite 15A, Redlands, CA 92373. Staff forward the claim to the appropriate departments for approval.
About notarization
The claimant signs this form without a notary; if the original receipt is unavailable, a separate affidavit must be notarized, and a commissioned online notary may notarize that affidavit.
How to submit this form
- 1
Download The Form
Download the fillable Refund Request Form from the City of Redlands website.
- 2
Complete And Sign
Enter your contact details, project location, payment amount and date, and reason for requesting a refund; then sign and date the form.
- 3
Gather Required Attachments
Attach the original permit receipt with cash register validation, or the stated affidavit and proof-of-payment documents if the receipt is unavailable.
- 4
Submit To Building And Safety
Take the completed form and attachments to the Building & Safety service counter at 35 Cajon St, Suite 15A, Redlands.
Frequently asked questions
- Do I need a notary for the Refund Request Form?
- No. The claimant signs the form without a notary. If the original receipt is unavailable, a separate affidavit must be notarized; a commissioned online notary may notarize that affidavit.
- How do I submit the refund request?
- Submit the completed form and required attachments at the Building & Safety service counter, 35 Cajon St, Suite 15A, Redlands, CA 92373.
- What attachments does the refund request require?
- Attach the original permit receipt with cash register validation. If it is unavailable, submit a notarized affidavit explaining why, plus a front-and-back copy of your canceled check or other proof of payment.
- When must I file a refund claim?
- The form says claims for fees paid to the Building and Safety Department must be filed within 365 days from the date of payment.
Need something notarized?
This Refund Request Form doesn’t need a notary — but if you have another Redlands form that does, a commissioned online notary can help.