Appeal of Summary Abatement

APPEAL OF SUMMARY ABATEMENT NOTICE AND ORDER
JANUARY 2025 WINDSTORM AND CRITICAL FIRE EVENTS

IMPORTANT: This form must be completed and submitted within seven calendar days of the date on which the Summary Abatement Notice and Order was posted on your property, mailed to you, or published (whichever is later). Failure to submit a timely appeal waives your right to contest the abatement.
PROPERTY INFORMATION
Property Address:*

Street Address

CityState

ZIP
Assessor’s Identification Number (AIN):*
Owner(s) of Record (as listed on tax roll):*
Owner Mailing Address:*

Street Address

Street Address Line 2

CityState

ZIP
Owner Email Address:*
example@example.com
Owner Phone Number:*
Please enter a phone number.
Summary Abatement Notice Date:

MonthDayYear
Date
BASIS FOR APPEAL/OBJECTION: (Please check all that apply and provide details below)*

I intend to submit a completed Supplemental Inclusion Right of Entry (SI ROE) form to Los Angeles County Public Works by June 30, 2025.I have completed debris removal on my property.I dispute the County’s determination that my property contains fire ash and debris.Other (please describe)
Detailed Explanation:*
Upload Attachments

Cancelof
SIGNATURE AND CERTIFICATION:
I, the undersigned property owner, certify under penalty of perjury under the laws of the State of California that the information provided in this appeal is true and correct to the best of my knowledge and belief.*

Clear
Please verify that you are a real person*

INTERNAL USE ONLY (PUBLIC WORKS)
INTERNAL USE ONLY (PUBLIC WORKS)
Findings:

Extension GrantedSpecial Inclusion ROE ReferralDeniedDebris ClearedOther
Revised Removal of All Debris Completion Date:

MonthDayYear
Date
Reviewer Name:
Date of Finding:

MonthDayYear
Date
Statement for findings:
Additional Responses

Closed/Debris Cleared
Additional Notes for Follow-up Submittal:
Additional Reviewer Name:
Additional Date of Finding:

MonthDayYear
Date

📬 Property Owners can also submit an appeal by:
- Dropping off a copy of the appeal form at a One Stop Center:
  - Altadena One-Stop Permit Center
    464 W. Woodbury Rd., Suite 210
    Altadena, CA 91001
  - Calabasas One-Stop Center
    266600 Agoura Rd., Suite 110
    Calabasas, CA 91302
- By Email:
  FireDebrisAbatementAppeal@pw.lacounty.gov
  (Subject: Summary Abatement Appeal – [Property Address])
🔔 WHAT HAPPENS NEXT:
- Your appeal will be reviewed by the Director of Public Works or designee.
- A written decision will be issued within 7 calendar days of receipt of your completed appeal form.
- The decision to uphold, rescind, or modify the Summary Abatement Notice and Order will be final.
If no appeal is submitted within 7 calendar days, the County will proceed with abatement as described in your Summary Abatement Notice and Order.
Questions? Contact the Fire Debris Removal Hotline at (888) 479-7328.
Should be Empty:

INTERNAL USE ONLY (PUBLIC WORKS)