Arroyo Grande, CA · San Luis Obispo County
Request for Administrative Appeal Hearing Form
This form lets a person or authorized agent request an appeal hearing for an administrative citation issued in Arroyo Grande.
What this form is
Use this form to appeal an administrative citation; the City Clerk must receive the request within 20 days of the citation date for it to be timely. It asks for the appellant’s contact details, interest in the citation, citation information, and reasons for appeal. Include any supporting documents or photos; the form states that the fine amount cannot be reduced on appeal.
Who needs it
A person charged by an administrative citation, a property owner, or an authorized agent appealing for a cited business or homeowner should file this form.
How to submit it
Mail or deliver it in person to the City Clerk’s Office, 300 East Branch Street, Arroyo Grande, CA 93420. The request must be received within 20 days of the citation date.
About notarization
This form is signed and dated without a notary; its truth-of-appeal section includes a declaration under penalty of perjury.
How to submit this form
- 1
Download the Form
Download the Request for Administrative Appeal Hearing Form.
- 2
Complete the Form
Provide appellant and citation details, state your reasons for appeal, and complete the truth-of-appeal section.
- 3
Gather Supporting Documents
Attach any supporting documents or photos and note the number of sheets attached.
- 4
Submit to the City Clerk
Mail or deliver the form to the City Clerk’s Office at 300 East Branch Street, Arroyo Grande, CA 93420; it must arrive within 20 days of the citation date.
Frequently asked questions
- Do I need a notary for the Request for Administrative Appeal Hearing Form?
- No. The form is signed and dated without a notary, but its truth-of-appeal section includes a declaration under penalty of perjury.
- How do I submit the appeal request?
- Mail or deliver the form in person to the City Clerk’s Office, 300 East Branch Street, Arroyo Grande, CA 93420.
- When must the City Clerk receive the form?
- The request must be received by the City Clerk within 20 days of the citation date to be considered timely filed.
- What should I include with the appeal form?
- Include any supporting documents or photos you want considered. You may attach additional sheets to explain why the citation should be revoked, modified, or set aside.
Need something notarized?
This Request for Administrative Appeal Hearing Form doesn’t need a notary — but if you have another Arroyo Grande form that does, a commissioned online notary can help.