Refund Log #: ______________________
Staff use only
Fee Refund Request
Page 1 of 2
For more information or for a copy of this publication in an alternate format, contact Planning & Development at
(602) 262-7811 voice or TTY use 7-1-1.
TRT/DOC/00562
P:\Fee Refund Request
WEB\dsd_trt_pdf_00562 Rev. 11/19
Please read Fee Refund Information on the back of this form before completing.
The original permittee must make written application no later than 180 days after the date of the fee payment.
Payor Name: _______________________________________________ Phone: _________________________
Mailing Address: _____________________________________________________________________________
City: __________________________________________ State: ___________ Zip Code: ________________
Email Address ______________________________________________________________________________
Plan/Permit or Plan Web Application #: __________________________________________________________
Project # (if applicable ________________________________________________________________________
Project Address/Location: _____________________________________________________________________
Receipt #: ___________________ Date: __________________ Amount Requested: _____________________
Credit Card #: _______________________________________ Expiration Date: _______________________
**NOTE** If original payment was made by credit card, that Credit Card # is required. A refund will not be processed without it.
Reason for refund: __________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
I am the original permittee or representative acting on the owner’s behalf for the Plan/Permit/Application Number
as noted above. I hereby make request for a refund of the refundable fees relating to the Plan / Permit less
application refund processing charges.
__________________________________________________________________________________________
Print Name
________________________________________________________ ________________________________
Signature of Applicant Date
------------------------------------------------ Finance Staff Use Only -------------------------------------------
At completion of each step please sign off, date and return to PDD Financial Services
Application received and logged in: By: ______________ Date: _____________________
PlanWeb KIVA
Disposition approved/disapproved: By: ______________ Date: _____________________
County Records updated for Voided Permit: By: ______________ Date: _____________________
Log Closed: By: ______________ Date: _____________________
City of Phoenix Planning & Development Department
Fee Refund Request – Page 2 of 2 TRT/DOC/00562
FEE REFUND REQUEST INFORMATION AND INSTRUCTIONS
The refund will be paid to the payee of record, unless written direction from the payee states otherwise by use of
the Refund Request Payment Assignment form. Refunds may be written jointly to the applicant and payee if it is
unclear who should receive the payment.
For assistance or questions regarding completion of the application, or the status of a refund application, please
call 602-262-7811.
Return Requests via:
Mail: City of Phoenix, Planning & Development Department Fax #: 602-534-1810
Financial Services – Refund Processing
200 West Washington St., 3
rd
Floor
Phoenix, AZ 85003
In person: City of Phoenix, Planning & Development Department
200 West Washington, 2
nd
Floor – Payment and Submittal Counter
Allow six to eight weeks for refund request processing. For specific details see items below.
Development and Building Safety Fees
The original permittee must make written application no later than 180 days after the date of the fee payment.
Attach a copy of the permit, payment receipt and any other documentation that will aid in the decision. The
refund of permit and/or plan review fees will be disallowed if plan review or inspection services have been
performed by the city. Certain water services, development and impact fees may still be refundable.
An administrative fee will be applied to each refund as applicable. Per Phoenix City Code, the fee is the greater
of 20% of the Planning & Development fees being refunded or one hour of staff time. The staff hourly rate is
referenced in the Planning & Development Department Fee Schedule or, Chapter 9, Appendix A.2 of the Phoenix
City Code. The administrative fee will not be applied if the refund is due to staff error.
The above general information is taken from the Phoenix City Code. Please consult the code for specific
application to your request. Some exceptions to this fee refund request policy may be approved by the Planning
& Development Department Director.
Planning Fees
1. General Plan Amendmen
t – An applicant may receive up to a 75% refund prior to enhanced notification, up
to a 50% refund prior to posting and no refunds once posted.
2. Rezoning and Special Permit – A 50% refund may be granted if the request for withdrawal and refund is
made up to one week after the post application meeting and no refunds one week after the post applicatio
n
meeting. A minimum $150 administration fee will be retained from any refund to cover the cost of processing
the application.
3. Zoning Adjustment and Planning Hearing Officer – A 50% refund may be granted if the request for
withdrawal and refund is made prior to advertising the request and at least one day prior to posting the site
and no refund once the property is advertised or posted. A minimum $75 administration fee will be retained
from any refund to cover the cost of processing the applicatio
n.
4. Zoning Verification Letter, Informal Interpretation and Text Amendments – No refunds will be granted.