By submitting this form, you (1) agree all the information you provide is correct and (2) agree to fully cooperate in the investigation or prosecution of any person responsible for any violation of law giving rise to the request for waiver or partial reimbursement.
To qualify for waiver or reimbursement, SFMTA must determine that you are eligible. If SFMTA determines you are eligible, the maximum dollar amount SFMTA will reimburse you is the amount in fees you paid in excess of the reduced fees. A check will be mailed to the address you provided.
You are responsible to notify the SFMTA immediately if you move or change your mailing address. When you complete this submission, you will be given a Case reference number and the email address to notify us of any changes.
Submitting this form to SFMTA does not guarantee you will receive partial reimbursement of the administrative fee you paid for towing and storage of your vehicle.