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Print Formative of Determination To:Office of Planning and Research U.S. Mail:Street Address:P.O. Box 30441400 Tenth St., Rm 113Sacramento, CA 958123044 Sacramento, CA 95814 County Clerk County of:
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Obtain a copy of the notice of determination form from the relevant authority.
02
Fill in the date of the notice, your name, address, and contact information.
03
Provide details of the decision being determined, including any reference numbers or case information.
04
Clearly state the reasons for your disagreement with the decision.
05
Attach any relevant supporting documentation or evidence that may help your case.
06
Sign and date the form before submitting it to the appropriate authority.

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Anyone who has received a decision from an authority that they disagree with and wish to challenge.
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The notice of determination is a formal notification sent to inform a party of a decision made by an authority.
The party who made the decision is required to file the notice of determination to the affected party.
The notice of determination must be filled out with all necessary information regarding the decision and the affected party.
The purpose of the notice of determination is to formally communicate a decision and its implications to the affected party.
The notice of determination must include details about the decision, the reasons for it, any applicable deadlines, and any rights of appeal.
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