Bremerton, WA · Kitsap County
Administrative Appeal Form
Appellants use this form to challenge a city order or action and explain their interests, supporting facts, and requested relief.
What this form is
This form is for appealing a city order or action to the Hearing Examiner. It asks each appellant to state their legal interest in the property, identify the order or action being challenged, provide supporting facts, and explain the relief sought and why it is warranted. The form lists a $350 Hearing Examiner fee.
Who needs it
People appealing a city order or action use this form to identify their legal interest and explain their grounds for appeal.
How to submit it
Submit the completed appeal to the City of Bremerton Department of Community Development, 345 6th Street, Suite 600, Bremerton, WA 98337-1873. The form lists a $350 Hearing Examiner fee.
About notarization
This document is signed without a notary; the form asks each appellant to sign and date it.
How to submit this form
- 1
Download the Form
Download the Administrative Appeal Form PDF.
- 2
Complete the Appeal Details
Identify each appellant’s legal interest and describe the challenged order or action, supporting facts, and requested relief.
- 3
Add Pages if Needed
Use additional pages if necessary to provide the requested statements.
- 4
Sign and Submit
Each appellant signs and dates the form. Submit it to the Department of Community Development; the form lists a $350 fee.
Frequently asked questions
- Do I need a notary for the Administrative Appeal Form?
- No. This document is signed without a notary; each appellant signs and dates the form.
- How do I submit the Administrative Appeal Form?
- Submit it to the City of Bremerton Department of Community Development at 345 6th Street, Suite 600, Bremerton, WA 98337-1873. The form lists a $350 Hearing Examiner fee.
- What information does the appeal form ask for?
- It asks for each appellant’s legal interest in the property, the order or action being protested, supporting facts, and the relief sought with reasons.
Need something notarized?
This Administrative Appeal Form doesn’t need a notary — but if you have another Bremerton form that does, a commissioned online notary can help.