Winters, CA · Yolo County
Request for Advance Deposit/Hardship Waiver
This form lets people who cannot afford an advance deposit or fine payment request a hardship waiver for an administrative citation in Winters.
What this form is
Use this form to request an advance deposit or hardship waiver if you are financially unable to pay the full fine or deposit before an administrative review. The request must be filed within 10 days of the administrative citation date. It asks for your contact details, monthly gross income, number of dependants, reasons for the request, and signature; it also includes an option to indicate intent to appeal.
Who needs it
People who received an administrative citation and cannot afford the required advance deposit or full fine payment may use this form to request a waiver.
How to submit it
Send it to the Code Compliance Unit, 702 Main Street, Winters, CA 95694. The form also lists [email protected] and fax (530) 795-3921.
About notarization
This form is signed without a notary; the signer declares under penalty of perjury that the information is true and correct, and no notarized attachment is identified.
How to submit this form
- 1
Download The Form
Download the Request for Advance Deposit/Hardship Waiver from this page.
- 2
Complete The Request
Enter your contact information, monthly gross income, number of dependants, and reasons for requesting a waiver.
- 3
Sign And Date
Sign and date the form, declaring that the information provided is true and correct.
- 4
Submit To Code Compliance
Send the request to the Code Compliance Unit at the address listed on the form; it must be filed within 10 days of the citation date.
Frequently asked questions
- Do I need a notary for the hardship waiver request?
- No. The form is signed without a notary, though the signer declares under penalty of perjury that the information is true and correct. No notarized attachment is identified.
- Who can request an advance deposit hardship waiver?
- A person who received an administrative citation and is financially unable to make the full payment or advance deposit may request a waiver.
- How do I submit the hardship waiver request?
- Send the form to the Code Compliance Unit at 702 Main Street, Winters, CA 95694. The form also lists an email address and fax number.