Citation Number: ________________________________
Citation Date: __________________________________
Vehicle License Number: _________________________
Violation(s): ____________________________________
Officer ID Number: ______________________________
Briefly describe the circumstances surrounding the citation (NPV) and why you are seeking an administrative review of the violation(s) charged. Attach any relevant documents or other evidence, which may support your claim.
Results of the Administrative Review will be mailed to you.
Name: _____________________________________________________________
(First) (MI) (Last)
Address: ____________________________________________________________
(Street) (City) (State) (Zip
Code)
Telephone: _____________________ __________________________
(Home) (Work)
Mail to: Finance
Department,
City of Salinas,
200 Lincoln Avenue,
Salinas, CA 93901