Applications & Fees

Contact Placer LAFCO to set up an appointment to discuss your needs. 

Applications

  1. Application Submission Checklist-10-26-2022
  2. Change of Organization Reorganization Application (PDF)
  3. District Formation Application (PDF)
  4. Fee Schedule (PDF)
  5. Incorporation Application (PDF)
  6. Out of Agency Application (PDF)
  7. Plan for Providing Services Application (PDF)
  8. Sphere of Influence Amendment Update Request Application (PDF)

Other Related Documents

  1. Map and Geographic Description Requirements (PDF)
  2. Placer LAFCO Agreement to Pay Fees
  3. Campaign Contribution Form

Government Code §56100.1 (a) Contributions and expenditures for political purposes related to a proposal or proceeding shall be disclosed and reported pursuant to Article 2.5 (commencing with Section 84250) of Chapter 4 of the Political Reform Act of 1974 (Title 9 (commencing with Section 81000)). 

  1. Political Reform Act-2022

Any person or combination of persons who directly or indirectly makes an expenditure or independent expenditure for political purposes of $1,000 or more in support of, or in opposition to, a change of organization or reorganization submitted to LAFCO to which Government Code Section 56700.1 applies, shall comply with reporting and disclosure requirements of the Political Reform Act (Government Code Section 81000 et seq.), to the same extent and subject to the same requirements as for local initiative measures.”

  1. Form 410 Statement of Organization Recipient Committee.pdf
  2. Form 460 Recipient Committee Campaign Statement.pdf
  3. Form 497 24-hour 10-day Contribution Report.pdf