Income Verification Form

Low-Income Eligibility Form

• Citation Payment Plan
• Community Service Program
• Hearing Deposit Waiver
• Muni Lifeline Transit Pass Program
• Booted Vehicles

If you are requesting that the tow and boot fine be waived because you are experiencing homelessness, you must contact an Access Point that serves people experiencing homelessness. Please call: 415-487-3300 x7000

Please use this form for towed vehicles.

This form is also available in:

• Chinese: 收入證明表
• Spanish: Formulario de verificación de ingresos