CONTRA COSTA COUNTY

CITATION PROCESSING CENTER

2^nd LEVEL ADMINISTRATIVE HEARING INSTRUCTIONS

Date:

Your name:

Address:

City/State/Zip

Daytime telephone number:

What agency issued the citation:

Citation number?

TO OBTAIN: A second level hearing by mail

1. State the ticket number and the violation description

2. Provide a photocopy of the original ticket

3. Clearly state your reason for requesting further consideration.

4. Include all copies of valid documentation to support your request. You MUST

provide adequate documentation. (This includes photos and any other

evidence to substantiate your request to have citation dismissed.)

Your information must be typed, computer printed, or neatly printed by hand. Illegible requests cannot be processed. Please provide your information in English.

Mail to: Name of Agency

c/o Citation Processing Center

PO Box 22814

Denver, CO 80222

2^nd level administrative hearings are provided by a state of California certified independant hearing officer. Determinations are returned to appellant in 8- 12 weeks from date received.