Poway, CA · San Diego County
Notice of Appeal and Request for Hearing
This form lets a person contest a City of Poway administrative citation by requesting a hearing before an Administrative Hearing Officer.
What this form is
Use this form to appeal a City of Poway administrative citation and request a hearing before an Administrative Hearing Officer. The appeal must be filed within ten days of the citation’s issuance date. The form asks for the citation number, appellant’s contact information, date, and signature; it must be submitted with the fine deposit or a hardship affidavit.
Who needs it
Anyone seeking to contest a City of Poway administrative citation must complete and file this appeal form within ten days of its issuance.
How to submit it
Print the completed form and bring it in person to the City of Poway Customer Services Division, attention Administrative Hearing Officer. Include the fine deposit or a hardship affidavit.
About notarization
This notice is signed and dated without a notary; it may be accompanied by a hardship affidavit, but the form does not specify that the affidavit must be notarized.
How to submit this form
- 1
Download the Form
Download the Notice of Appeal and Request for Hearing.
- 2
Complete and Sign
Enter the citation number and appellant information, then date and sign the form.
- 3
Gather the Deposit or Affidavit
Include a deposit for the citation fine or a hardship affidavit.
- 4
Bring It to the City
Print the form and bring it in person to the Customer Services Division, attention Administrative Hearing Officer.
Frequently asked questions
- Do I need a notary for the Notice of Appeal and Request for Hearing?
- No. Sign and date the notice without a notary. If you submit a hardship affidavit, the form does not specify that it must be notarized.
- How do I submit the appeal form?
- Print the completed form and bring it in person to the City of Poway Customer Services Division, attention Administrative Hearing Officer.
- When must I file my appeal?
- The form says the appeal must be filed within ten days from the issuance date on the administrative citation.
- What must I include with the appeal?
- Include a deposit equal to the fine on the citation, or submit a hardship affidavit with the Notice of Appeal.
Need something notarized?
This Notice of Appeal and Request for Hearing doesn’t need a notary — but if you have another Poway form that does, a commissioned online notary can help.