Winters, CA · Yolo County
Notice of Administrative Citation Appeal and Request for Hearing
This form lets a person appeal an administrative citation and request a hearing by providing contact information and explaining the basis for the appeal.
What this form is
Use this form to appeal an administrative citation or a decision and request a hearing. File it with the City Clerk within 30 days of the citation’s issuance or the decision being appealed. The form asks for your name, mailing address, phone number, and detailed appeal grounds; include a copy of the citation and deposit any fine unless you have requested an advance deposit hardship waiver.
Who needs it
Anyone seeking to appeal an administrative citation or decision and request a hearing should complete and file this form.
How to submit it
File the form with the City Clerk at 318 First St, Winters, CA 95694, within 30 days of the citation issuance or decision. Include a copy of the citation and deposit any fine unless you have requested an advance deposit hardship waiver.
About notarization
This form is signed without a notary; the signer declares under penalty of perjury that the information is true and correct, then signs and dates it.
How to submit this form
- 1
Download The Form
Download the Notice of Administrative Citation Appeal and Request for Hearing.
- 2
Complete The Form
Provide your name, mailing address, phone number, and detailed reasons for the appeal.
- 3
Gather Attachments
Include a copy of the administrative citation and deposit any fine unless you have requested an advance deposit hardship waiver.
- 4
Submit To The City
File the form with the City Clerk at 318 First St, Winters, CA 95694, within 30 days of the citation issuance or decision.
Frequently asked questions
- Do I need a notary for the administrative citation appeal form?
- No. The form has no notary block; the signer declares under penalty of perjury that the information is true and correct, then signs and dates it.
- How do I submit the administrative citation appeal form?
- File it with the City Clerk at 318 First St, Winters, CA 95694, within 30 days of the citation issuance or decision. Include a citation copy and any required fine deposit.
- What should I include with the appeal form?
- Include a copy of the administrative citation and deposit any fine, unless you have requested an advance deposit hardship waiver. You may attach additional sheets explaining your appeal.