An entity that has a Statement of Information on file for the current filing period may complete the form on this page to submit a penalty waiver request for review. The waiver request should state the specific reasons for failure to file the statement of information within the required filing period.

For penalties related to Political Reform, please email the Political Reform Division. To reach another division with the Secretary of State's office, please go to the main Agency Contact Information page.

All fields marked with an asterisk (*) are required. For a faster response, please include an email address.

Your Contact Information

You have 50 characters left.
Enter your first and last name.
You have 75 characters left.
Enter the entity name for this request.
You have 50 characters left.
Enter your registration number.
You have 100 characters left.
You have 100 characters left.
You have 100 characters left.
Enter your state.
You have 100 characters left.
Add your ZIP code.

Penalty Waiver Request for Failing to File Statement of Information


You have 2000 characters left.

Please wait...