Dixon, CA · Solano County
Administrative Citation Request for Administrative Appeal Hearing
Dixon administrative citation recipients use this form to request an appeal hearing and explain why they contest the citation or fine.
What this form is
This form lets a recipient of a City of Dixon administrative citation request an appeal hearing and explain why the citation or fine is being contested. It asks for appellant and citation details, the appeal basis, and a signature; the instructions say to include supporting documentation when needed and an advance fine deposit or deposit-waiver request. It is due to the City Clerk within 30 calendar days of the citation date.
Who needs it
A person who received a Dixon administrative citation and wants to contest the violation, responsibility, or fine amount should file this request.
How to submit it
Mail or deliver the completed form with attached documentation to the City Clerk, City of Dixon, 600 East A Street, Dixon, CA 95620. Include an advance deposit of the fine or a deposit-waiver request.
About notarization
This form is signed and dated without a notary; no notarized or sworn attachment is specified, though medical-condition documentation may be required for that appeal basis.
How to submit this form
- 1
Download The Form
Download the Administrative Citation Request for Administrative Appeal Hearing.
- 2
Complete The Request
Enter appellant and citation details, explain the basis for the appeal, and sign and date the form.
- 3
Gather Supporting Materials
Attach documentation supporting the appeal, if needed, and include an advance fine deposit or a deposit-waiver request.
- 4
Submit To The City Clerk
Mail or deliver the completed request and attachments to the City Clerk at 600 East A Street, Dixon, CA 95620.
Frequently asked questions
- Do I need a notary for the administrative citation appeal request?
- No. Sign and date the form; it does not specify a notarized or sworn attachment. Documentation from a licensed health care provider may be needed for an appeal based on a life-threatening medical condition.
- How do I submit the administrative citation appeal request?
- Mail or deliver the form with attached documentation to the City Clerk at City of Dixon, 600 East A Street, Dixon, CA 95620. Include an advance fine deposit or a deposit-waiver request.
- What information does the appeal request ask for?
- It asks for the appellant’s contact details, fine amount, citation number, issue date, and a detailed explanation of the appeal basis, followed by the appellant’s signature and date.
- When should I return the hearing request?
- The appeal instructions say to submit the request to the City Clerk within 30 calendar days from the date of the administrative citation.
Need something notarized?
This Administrative Citation Request for Administrative Appeal Hearing doesn’t need a notary — but if you have another Dixon form that does, a commissioned online notary can help.