File an appeal or complaint

Please Note: Further information concerning the types of appeals and complaints as well as related time frames for filing is available in the Appeals Resource Guide which may be accessed at www.spb.ca.gov.

Confirm Appellant Information

First Name:

Last Name:

Middle Initial:

Mailing Address:

City:

Zip Code:

State:

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Email:

Work City:

Edit