COUNTY OF LOS ANGELES
PARKING ENFORCEMENT DETAIL
INITIAL REVIEW
Respondent’s Name: _____________________________
Date Received: _______________________
Address:_______________________________________
Vehicle License Number: ______________
City:___________________ State: _____ Zip: ________
Citation Number: _____________________
Home Phone: (____) ____________________________
Business Phone: (____) _________________________
Statement of Facts: _______________________________________________________________________
________________________________________________________________
________________________________________________________________
Signature: _______________________
Date:
NOTE: Initial Review information is accepted at the Walk-In Centers, by Telephone or by Mail. If by mail, please mail to Los Angeles
Sheriff’s Department, P.O. Box 30629, Los Angeles, CA 90030. The result of the Initial Review will be mailed to the
address you provided.
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FOR OFFICE USE ONLY
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DO NOT WRITE BELOW THIS LINE
DETERMINATION:
Not Liable
Liable
Equipment Violation-Proof of Correction. Penalty reduced to $10 per CVC section 40225(c)
*Within 21 days, mail payment to: Los Angeles Sheriff’s Department, P.O. Box 30629 Los Angeles, CA 90030
Failure to Display Disabled Placard: Administrative Charge
CVC section 40226 - An issuing agency may, in lieu of collecting a fine for a citation for failure to display a disabled
placard, charge an administrative fee not to exceed twenty-five dollars ($25) to process cancellat ion of citation in any
case where the individual who received the citation can show proof that he or she had been issued a valid placard
at the time the citation was received.
No Legal Reason to Dismiss
Letter #: ______________________
DMV shows respondent as R/O when citation was issued.
DMV shows no change in ownership, there is no release of liability on file.
See attached field check/photo/DMV history.
Correct R/O: _________________________
Remarks: ____________________________________________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Reviewed by:
Date: _____________________________
White Copy – County
Yellow Copy – Customer
Rev. 12/18/14