Fillable CITY OF MOORPARK 799 MOORPARK AVENUE MOORPARK CA (City of Moorpark)

Fill Online, Printable, Fillable, Blank CITY OF MOORPARK 799 MOORPARK AVENUE MOORPARK CA (City of Moorpark) Form

Use Fill to complete blank online CITY OF MOORPARK (CA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CITY OF MOORPARK 799 MOORPARK AVENUE MOORPARK CA (City of Moorpark)

On average this form takes 9 minutes to complete

The CITY OF MOORPARK 799 MOORPARK AVENUE MOORPARK CA (City of Moorpark) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 36 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Moorpark

BROWSE CITY OF MOORPARK (CA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CITY OF MOORPARK
799 MOORPARK AVENUE
MOORPARK CA 93021
INITIAL REVIEW OF PARKING CITATION
An Initial Review may be requested in writing only. Please be specific in the Statement of Facts in explaining why you
are requesting that the citation be dismissed. Please complete the front of this form and return it to our office
including the Parking Citation (it is not necessary to mail in the payment). We will mail results of this Review to you.
PLEASE PRINT
Name:
Citation No.:
Address:
Violation No.:
City:
Zip: Time Citation Issued:
Vehicle License No.:
Date Citation Issued:
H
ome Phone: ( ) Business Phone: ( )
STATEMENT OF FACTS:
(If you need additional space, please use the attached continuation page)
I declare, under penalty of perjury under the laws of the State of California, that the foregoing statement is true and
correct.
Executed by:
_______________________________ on _______________ at __________________
(Name)
(Date)
(City & State)
Page 2 of 3
CITY OF MOORPARK
799 MOORPARK AVENUE
MOORPARK CA 93021
INITIAL REVIEW OF PARKING CITATION
(CONTINUED)
Citation Number: _______________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
I declare, under penalty of perjury under the laws of the State of California, that the foregoing statement is true and
correct.
Executed by:
_______________________________ on _______________ at __________________
(Name)
(Date)
(City & State)
Page 3 of 3
(
(
F
F
O
O
R
R
O
O
F
F
F
F
I
I
C
C
E
E
U
U
S
S
E
E
O
O
N
N
L
L
Y
Y
)
)
Reviewed by: Date:
(Moorpark Police/Public Works Department)
Determination (Circle One): Appellant Liable Appellant Not Liable
Citation No.: Date Mailed:
The facts above have been reviewed and the above referenced citation HAS NOT been rec
ommended for dismissal. If
you wish to pursue this further, you must present this form to the City of Moorpark, 799 Moorpark Avenue, Moorpark,
CA or call (805) 517-6366, prior to the date indicated in your letter.
Signature Date
WRITTEN STATEMENT OF ADMINISTRATIVE HEARING OFFICER
Officer’s Name (Please Print) Date
Officer’s Signature
INITIAL REVIEW DETERMINATION/COMMENTS
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CITY OF MOORPARK 799 MOORPARK AVENUE MOORPARK CA (City of Moorpark)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document