Cupertino, CA · Santa Clara County
Administrative Citation Appeal Hearing Request Form
Cupertino citation recipients use this form to appeal an administrative citation and request a hearing with the city.
What this form is
This form lets a person appeal a Cupertino administrative citation and request a hearing. Complete all fields, explain the reasons for the appeal, and attach a copy of the citation. The City Clerk must receive the form within ten business days of the citation date, together with the total penalty amount due or an Advance Deposit Hardship Waiver Form.
Who needs it
A person appealing a Cupertino administrative citation must complete this form and provide the required citation copy and payment or hardship waiver.
How to submit it
The form must be received by the Office of the City Clerk at City Hall, 10300 Torre Avenue, Cupertino, CA 95014-3255, within ten business days of the citation date. Attach a copy of the citation and the total penalty amount due or an Advance Deposit Hardship Waiver Form.
About notarization
This appeal form is signed without a notary; attach the citation and payment or waiver, and the signer signs the form.
How to submit this form
- 1
Download The Form
Download the Administrative Citation Appeal Hearing Request Form.
- 2
Complete The Form
Fill in all fields, including citation details, contact information, the violation address, and your appeal reasons.
- 3
Gather Attachments
Attach a copy of the Administrative Citation and the penalty amount due or an Advance Deposit Hardship Waiver Form. Add supporting pages, photographs, or diagrams if needed.
- 4
Submit To The City
Ensure the Office of the City Clerk receives the form within ten business days of the citation date.
Frequently asked questions
- Do I need a notary for an Administrative Citation Appeal Hearing Request?
- No. The form is signed without a notary. Attach a copy of the citation and the penalty amount due or an Advance Deposit Hardship Waiver Form.
- How do I submit the appeal request?
- The Office of the City Clerk must receive the completed form within ten business days of the citation date. Include a copy of the citation and the penalty amount due or a hardship waiver form.
- What information does the form ask for?
- It asks for citation details, contact and mailing information, the address of the violation, and your reasons for appealing. You may attach additional pages, photographs, or diagrams.
- What happens after I submit the form?
- The form says you will be notified of a hearing scheduled between fifteen business days and sixty calendar days from the date on the hearing notice.
Need something notarized?
This Administrative Citation Appeal Hearing Request Form doesn’t need a notary — but if you have another Cupertino form that does, a commissioned online notary can help.