Notice of Appeal & Request for Hearing

Complete this form to file an appeal with the Office of Administrative Hearings.

Filing

The Notice of Appeal and Request for Hearing shall be filed within 15 days of receipt of the notice advising a person of their right to a hearing or appeal.

All notices must have complete and correct information to be reviewed in a timely manner.

To file:

Complete the Online Form below and include an upload of the citation, OR
Download a PDF version of the form and mail with a copy of the citation to:

The Office of the City Clerk
P.O. Box 1293
Albuquerque,NM 87103

You will be notified by certified mail of the date, time, and location of the hearing.

Contact

Please contact the Office of the City Clerk at 505-924-3650 or email [email protected] if you have any questions, want to confirm receipt of your appeal, need assistance to fill out this form, or require an interpreter.

Online Form of Notice of Appeal & Request for Hearing

Fields with a red dot ^⏺ are mandatory.

Citation Information

Date of Notice

Department File Number

Upload Copy of Citation Required. File must be under 8 MB in size.

Information of the Person or Business Filing the Appeal

Name First and Last Name

Mailing Address Street address

City, State

Zip Code

Phone Number Include area code. Ex. 505-555-5555

Reason for Appeal

Authority for the Request & Appeal

Action Being Challenged What the City did that you are asking to change.

Remedy You Are Seeking What you are asking the City to do.

Date of Electronic Signature Enter today's date.

Certification Checkbox By checking the box and typing my name below, I hereby swear or affirm, under penalty of perjury under the laws of the State of New Mexico, that all the information in the uploaded form is true and correct to the best of my knowledge.

Electronic Signature

Captcha

Please confirm all required fields are populated before submitting your form. Fields with a red dot ^⏺ are mandatory.

Your form is not submitted until you click the Submit button and see the confirmation page which includes a recap of your completed form fields. If you do not see this page please double check that your upload us smaller than 8 MB. Uploading files that are larger than 8 MB will result in a failed submission.

Notice of Appeal & Request for Hearing

Filing

Contact

Online Form of Notice of Appeal & Request for Hearing

Citation Information

Information of the Person or Business Filing the Appeal

Reason for Appeal

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