Do I need a notary for the Appeal of Administrative Citation?

No. The appeal is signed without a notary, but its statement is made under penalty of perjury. A hardship waiver request calls for a sworn affidavit.

What should I include with the appeal?

Provide the citation and property or location details, your contact information, and your reasons for appealing. Attach any supporting documents or photographs.

Can I request a hardship waiver for the advance deposit?

Yes. The document includes a request for an advance deposit hardship waiver for people who are financially unable to deposit the fine. It requests financial information and copies of the last federal and state tax returns.

Millbrae, CA · San Mateo County

No notary required

Appeal of Administrative Citation

This form lets a recipient of a Millbrae administrative citation request a hearing to contest the violation or responsibility for it.

What this form is

Citation recipients use this form to contest whether a Millbrae Municipal Code violation occurred or whether they are responsible. The appeal and advance deposit of the citation fine must be received by the city within 15 days of receiving the citation; a hardship waiver request is also available for people unable to make the deposit. The form asks for citation, property, appellant, and contact details, along with reasons for the appeal and any supporting documents.

Who needs it

A person who received a Millbrae administrative citation and wants to contest the alleged violation or their responsibility for it should complete this form.

How to submit it

Submit the appeal and fine deposit by mail or in person to the City of Millbrae City Clerk at 621 Magnolia Ave., Finance Division, Millbrae City Hall. The appeal and deposit must be received within 15 days of receiving the citation.

About notarization

This document is signed without a notary; the contestant declares under penalty of perjury that the appeal facts are true and correct, and the hardship waiver requests a sworn affidavit.

How to submit this form

1
Download The Form
Download the Appeal of Administrative Citation and Request for Hearing form.
2
Complete The Appeal
Enter the citation and property details, your contact information, and the reasons you are contesting the citation.
3
Gather Supporting Documents
Attach supporting documents or photographs. A hardship waiver request requires copies of your last federal and state tax returns.
4
Submit To The City
Mail or deliver the appeal and fine deposit to the City Clerk at the address listed on the form within 15 days of receiving the citation.

Frequently asked questions

Do I need a notary for the Appeal of Administrative Citation?: No. The appeal is signed without a notary, but its statement is made under penalty of perjury. A hardship waiver request calls for a sworn affidavit.
How do I submit the Appeal of Administrative Citation?: Mail or deliver the appeal and fine deposit to the City Clerk at 621 Magnolia Ave., Finance Division, Millbrae City Hall. The city must receive them within 15 days of your receipt of the citation.
What should I include with the appeal?: Provide the citation and property or location details, your contact information, and your reasons for appealing. Attach any supporting documents or photographs.
Can I request a hardship waiver for the advance deposit?: Yes. The document includes a request for an advance deposit hardship waiver for people who are financially unable to deposit the fine. It requests financial information and copies of the last federal and state tax returns.

Need something notarized?

This Appeal of Administrative Citation doesn’t need a notary — but if you have another Millbrae form that does, a commissioned online notary can help.