Buellton, CA · Santa Barbara County
Request for Administrative Hearing Form
People who receive a Buellton administrative citation use this form to contest it by requesting a hearing and explaining their reason for appeal.
What this form is
A person who receives an administrative citation may use this form to request a hearing and explain the reason for contesting the citation. The request must be returned to the City Manager within 15 days after the citation’s issuance date and accompanied by an advance deposit of the fine for the initial violation. A separate hardship-waiver form may be filed with the hearing request.
Who needs it
Anyone who received a Buellton administrative citation and wants to contest it through a hearing needs to submit this request form.
How to submit it
Return the completed request to the City Manager within 15 days after the citation’s issuance date, with the advance fine deposit. A hardship-waiver request must be filed with the City Clerk along with the hearing request.
About notarization
This hearing request is completed without a notary; a separate hardship-waiver form must be signed under penalty of perjury, but the document does not state that it needs notarization.
How to submit this form
- 1
Download the Form
Download the Request for Administrative Hearing Form.
- 2
Complete the Request
Provide the property owner and violation details, citation number and date, and reason for appeal.
- 3
Gather Any Related Request
If seeking a hardship waiver of the fine deposit, complete the separate city form and sign it under penalty of perjury.
- 4
Submit to the City
Return the hearing request to the City Manager within 15 days after the citation’s issuance date and include the advance fine deposit.
Frequently asked questions
- Do I need a notary for the Request for Administrative Hearing Form?
- No. This hearing request is completed without a notary. A separate hardship-waiver form must be signed under penalty of perjury, but the document does not state that it needs notarization.
- How do I submit the hearing request?
- Return the completed form to the City Manager within 15 days after the citation’s issuance date. Include the advance deposit of the fine assessed for the initial violation.
- What information does the hearing request ask for?
- The form asks for the property owner’s name and address, the address of the violation, citation number and date, and the reason for the appeal.
- Can I request a hardship waiver of the fine deposit?
- The document says a person may file a separate completed city hardship-waiver form with the hearing request. That request must be signed under penalty of perjury.