Valley, AL · Chambers County
Service Station Report
This monthly report records gasoline purchases made in the City of Valley and its police jurisdiction, and is submitted to the city by the person signing for the company.
At a glance
- Issued by
- City of Valley · Valley, Chambers County, Alabama
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- cityofvalley.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use the Service Station Report to list gasoline purchases by date and gallons for a selected month, then provide the company’s name, address, and signature. The form is for purchases made in the City of Valley and its police jurisdiction and is mailed to the City of Valley at the address printed on the form. The report includes a sworn statement that must be signed before a notary public.
Who needs it
A company reporting gasoline purchases made in the City of Valley or its police jurisdiction should complete and mail this report to the city.
How to get this notarized
- 1
Download the Report
Get the Service Station Report from the City of Valley.
- 2
Fill In Purchase Details
List the purchase dates and gallons for the reporting month, then provide the company name and address.
- 3
Book an Online Notary
Arrange a notarization appointment and confirm with the city that it accepts remote notarization for this sworn report.
- 4
Sign on Video
Take the oath and sign the report before the commissioned online notary.
- 5
Submit to the City
Mail the completed report to the City of Valley address printed on the form.
Preview the form
The blank PDF straight from Valley. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the Service Station Report?
- Enter the purchase dates and gallons for the month, add the company information, sign under oath before a notary, and mail the completed report to the City of Valley address on the form.
- Do I need to sign this report in front of a notary?
- Yes. The form includes a sworn-to-and-subscribed-before-me jurat, so the person signing for the company must take the oath and sign before a notary public.
- Can I use a commissioned online notary?
- Alabama's remote-notarization authorization applies to its notaries physically located in Alabama. This report uses a sworn jurat, so ask the city whether it accepts remote notarization; confirm with the city or town if unsure.
- Where do I mail the completed report?
- The form says to mail it to City of Valley, P.O. Box 186, Valley, AL 36854.