If you are not satisfied with the first level administrative review results, you may request an appointment with a Hearing Examiner within 21 days from the date of the response to the review. Requests received after the deadline date will not be considered for a hearing and any further rights to contest the citation(s) will be forfeited. A penalty payment must be made in order to request a hearing. You may submit this form and make a payment online. For instructions on how to submit a printed form and make a payment by mail or in person at the TPS Office, see How to Appeal a Citation.
Administrative Hearings are conducted by appointment or by mail. All information presented in the first level administrative review will be available to the Hearing Examiner.
- Complete ALL sections of this form.
- Click the Submit button to send your data. You will receive a confirmation email once form has been successfully submitted.
- Pay the citation penalty amount online.
For assistance with your hearing request, send an email to firstname.lastname@example.org, or call 805.893.3680.