Des Moines, WA · King County
Administrative Decision Appeal
Des Moines residents and other appellants use this form to appeal an administrative decision and explain the error and requested redress.
What this form is
Use this form to appeal an administrative decision; it says the appeal must be filed within 10 days of the notice date. It asks for appellant contact information, a detailed explanation of the alleged error and its effects, and the redress sought. Attach a copy of the decision being appealed and include the $990 filing fee; the form says an incomplete packet will not be considered complete.
Who needs it
Anyone appealing a Des Moines administrative decision should complete this form and provide the information and attachments it lists.
How to submit it
File the appeal with the City Clerk at Des Moines Administration Office, 21630 11th Avenue S., Suite A, Des Moines, WA 98198. Include the $990 filing fee and a copy of the decision being appealed.
About notarization
This document is signed and dated without a notary; it mentions no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Appeal Form
Download the Administrative Decision Appeal form.
- 2
Complete The Form
Provide your contact information, explain the alleged error and its effect, and state the redress you seek.
- 3
Gather Required Items
Attach a copy of the administrative decision being appealed and include the $990 filing fee.
- 4
Sign And Date
Sign and date the appeal form.
- 5
File With The City Clerk
File the complete packet with the City Clerk at the address listed on the form within 10 days of the notice date.
Frequently asked questions
- What information does the Administrative Decision Appeal request?
- It asks for contact information, a detailed statement identifying the alleged error and its effect on the decision, and a statement of the redress sought.
- What must I include with my appeal?
- The form lists a $990 filing fee and a copy of the administrative decision being appealed. It also says the appeal packet must contain all information detailed on the form.
- How do I submit the Administrative Decision Appeal?
- File it with the City Clerk at Des Moines Administration Office, 21630 11th Avenue S., Suite A, Des Moines, WA 98198. The form says to file within 10 days of the notice date.
- Do I need a notary for the Administrative Decision Appeal?
- No. The document is signed and dated without a notary and mentions no notarized or sworn attachment.
Need something notarized?
This Administrative Decision Appeal doesn’t need a notary — but if you have another Des Moines form that does, a commissioned online notary can help.