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REQUEST FOR ADMINISTRATIVE HEARING
CITATION NUMBER: _____________________
NAME: ___________________________________________________________
ADDRESS: _______________________________________________________
CITY, STATE & ZIP __________________________________________________
TELEPHONE NO.: _____________ (day) _________________ (evening)
I will be: ______ Appearing in person _____ Contesting by mail
REASON(S) citation is being contested: ____________________________________
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You are not required to cite any law to support your case. However, if you intend to cite any STATUTORY OR CASE LAW, please indicate all citations:
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You are not required to present the testimony of any witnesses. If you intend to call witnesses, please provide their names and a brief summary of their testimony on a separate sheet attached to this request.
DECLARATIONS, of any witnesses unable to attend the Hearing must be attached to this request and signed under penalty of perjury. All declarations should be submitted at this time unless good cause is shown why they are not available.
DATE _________________ ___________________________________
(signature)
NOTE: A copy of the City of Torrance Parking Citation Administrative Adjudication Manual is available for your review in the Office of the City Treasurer.
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