Do I need a notary for the Request for Administrative Appeal Hearing?

No. The appellant signs and dates this request without a notary. The form requires a copy of the ticket or citation, but does not say that attachment must be notarized.

What information does the appeal request ask for?

It asks for the appellant’s name and contact details, case number, violation type, issuing City department, and facts supporting the appeal of the penalty or order.

When must I file the appeal request?

The form says the appeal must be filed with the City Clerk within 20 calendar days from service of the administrative citation, notice and order, or notice of violation.

Modesto, CA · Stanislaus County

No notary required

Request for Administrative Appeal Hearing

This form lets someone appealing a City of Modesto administrative citation or order request an administrative appeal hearing.

What this form is

Use this form to appeal a penalty or order imposed through an administrative citation, notice and order, or notice of violation. The document says to file it with the City Clerk within 20 calendar days of service and asks for the appellant’s contact details, case number, violation information, and reasons for the appeal.

Who needs it

Anyone seeking to appeal a City of Modesto administrative penalty or order should complete and file this request with the City Clerk.

How to submit it

File the request with the City Clerk at City of Modesto, P.O. Box 642, 1010 Tenth Street, Modesto, CA 95353. The form says to attach a copy of the ticket or citation.

About notarization

This request is signed and dated by the appellant without a notary; attach a copy of the ticket or citation, which the document does not say must be notarized.

How to submit this form

1
Download The Form
Download the Request for Administrative Appeal Hearing.
2
Complete The Request
Enter your contact details, case number, violation information, and reasons supporting your appeal.
3
Attach The Citation
Include a copy of the ticket or citation with your request.
4
File With The City Clerk
File the request with the City Clerk within 20 calendar days of service, at the address listed on the form.

Frequently asked questions

Do I need a notary for the Request for Administrative Appeal Hearing?: No. The appellant signs and dates this request without a notary. The form requires a copy of the ticket or citation, but does not say that attachment must be notarized.
How do I submit the administrative appeal hearing request?: File it with the City Clerk at City of Modesto, P.O. Box 642, 1010 Tenth Street, Modesto, CA 95353. Attach a copy of the ticket or citation.
What information does the appeal request ask for?: It asks for the appellant’s name and contact details, case number, violation type, issuing City department, and facts supporting the appeal of the penalty or order.
When must I file the appeal request?: The form says the appeal must be filed with the City Clerk within 20 calendar days from service of the administrative citation, notice and order, or notice of violation.

Need something notarized?

This Request for Administrative Appeal Hearing doesn’t need a notary — but if you have another Modesto form that does, a commissioned online notary can help.