Philadelphia, PA · Philadelphia County
Board of License and Inspection Review Appeal Application
This application lets an appellant challenge a violation, notice, or refusal before Philadelphia’s Board of License and Inspection Review.
What this form is
Use this application to appeal a violation, notice, or refusal to the Board of License and Inspection Review. Submit it by mail or in person within 30 days of the first notice of violation, with a copy of the building permit, violation, or notice being appealed. The form asks for appellant and property details, appeal grounds, violation information, and a signed declaration.
Who needs it
An appellant challenging a violation, notice, or refusal from the Department should complete this application and attach the document being appealed.
How to submit it
Submit the signed application by mail or in person within 30 days of the first notice of violation. Attach a copy of the building permit, violation, or notice being appealed.
About notarization
This application does not require a notary; the appellant signs and dates it, and the attached permit, violation, or notice is not identified as notarized.
How to submit this form
- 1
Download The Application
Download the Board of License and Inspection Review Appeal Application.
- 2
Complete The Form
Enter appellant and property information, select the appeal type and reason, and provide the violation or notice details.
- 3
Gather The Attachment
Include a copy of the building permit, violation, or notice being appealed.
- 4
Sign And Submit
Have the appellant or their attorney sign and date the application, then mail it or submit it in person within 30 days of the first notice of violation.
Frequently asked questions
- Do I need a notary for the Board of License and Inspection Review Appeal Application?
- No. The appellant signs and dates this application; the attached building permit, violation, or notice is not identified as requiring notarization.
- How do I submit the appeal application?
- Submit the signed application by mail or in person within 30 days of the first notice of violation, and attach a copy of the permit, violation, or notice being appealed.
- What should I attach to the application?
- Attach a copy of the building permit, violation, or notice from which you are appealing.
- Who must sign the application?
- The appellant or the attorney representing the appellant must sign. Attorney representation is not required unless the appellant is a corporation or LLC.
Need something notarized?
This Board of License and Inspection Review Appeal Application doesn’t need a notary — but if you have another Philadelphia form that does, a commissioned online notary can help.