Dublin, CA · Alameda County
Exemption Certificate Uniform Transient Occupancy Tax
This certificate is for government officers or employees seeking a transient occupancy tax exemption for an official stay at a hotel.
What this form is
The certificate records expected stay dates and lets a government officer or employee certify that they are on official business during the entire stay. It asks for the government agency, agency address, phone number, signer’s name, title and date, and the hotel’s name and address. The form also says the hotel operator must keep the certificate available for city inspection.
Who needs it
A government officer or employee on official business who is seeking a transient occupancy tax exemption for a hotel stay needs this certificate.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
No notary is required; the signer signs and dates the certificate, which includes a certification under penalty of perjury, and may attach a business card.
How to submit this form
- 1
Download The Certificate
Download the transient occupancy tax exemption certificate.
- 2
Complete The Certificate
Enter the expected stay dates and government agency details, then sign and date the certification.
- 3
Add Hotel Information
Enter the hotel’s name and address and its phone number.
- 4
Attach A Business Card
A business card may be attached in place of the government agency address.
- 5
Keep It Available For Inspection
The form says the hotel operator must have the certificate available for city inspection.
Frequently asked questions
- What is the transient occupancy tax exemption certificate for?
- It lets a government officer or employee certify that they are on official business during their entire hotel stay and seek an exemption.
- What information does the certificate ask for?
- It asks for expected stay dates, government and agency details, contact information, the signer’s name and title, and the hotel’s name and address.
- Do I need a notary for the transient occupancy tax exemption certificate?
- No. The signer signs and dates the certificate, which includes a certification under penalty of perjury; a business card may be attached.
- How do I submit the certificate?
- Submit it to the city department named on the form; check the city website for current contact details. The form says the hotel operator must keep it available for city inspection.
Need something notarized?
This Exemption Certificate Uniform Transient Occupancy Tax doesn’t need a notary — but if you have another Dublin form that does, a commissioned online notary can help.