Dublin, CA · Alameda County

No notary required

Tri-Valley Tourism Assessment

Lodging businesses use this form to report occupancy, calculate the tourism assessment due, and remit payment to the City of Dublin.

What this form is

This assessment form reports lodging occupancy for a specified period and calculates the amount due, including any penalties or interest. Lodging businesses complete it to remit the assessment to the City of Dublin; the form also provides fields for claimed exemptions and supporting documentation. It asks for business and period details, room-night figures, payment calculations, and a signed certification.

Who needs it

Lodging businesses reporting occupancy and remitting a Tri-Valley tourism assessment to the City of Dublin need this form.

How to submit it

Mail the completed form and payment to City of Dublin, Attention Finance Department, 100 Civic Plaza, Dublin, CA 94568.

About notarization

This document is signed without a notary; the signer certifies the information under penalty of perjury and signs and dates the form.

How to submit this form

  1. 1

    Download the Form

    Download the Tri-Valley Tourism Assessment form.

  2. 2

    Complete the Form

    Enter the lodging business details, reporting period, occupancy figures, assessment calculations, and signer information.

  3. 3

    Gather Supporting Documentation

    Attach documentation for any exemptions claimed.

  4. 4

    Mail the Form and Payment

    Mail the completed form and payment to the City of Dublin Finance Department at the address shown on the form.

Frequently asked questions

Do I need a notary for the Tri-Valley Tourism Assessment?
No. The form has no notary block; the signer certifies the information under penalty of perjury and signs and dates it.
How do I submit the Tri-Valley Tourism Assessment?
Mail the completed form and payment to City of Dublin, Attention Finance Department, 100 Civic Plaza, Dublin, CA 94568.
What information does the assessment form request?
It requests the lodging business name and address, reporting period, available and paid occupied room nights, exemptions, assessment calculations, and signer details.

Need something notarized?

This Tri-Valley Tourism Assessment doesn’t need a notary — but if you have another Dublin form that does, a commissioned online notary can help.