Buellton, CA · Santa Barbara County
Government Employee Exemption Claim Form
Government employees and lodging personnel complete this form to claim an exemption from Buellton transient occupancy tax and tourism district charges.
What this form is
This form documents a government employee’s claim for an exemption from transient occupancy tax and Santa Ynez Valley Tourism Business Improvement District charges on a room. The guest completes the employee, agency, and official-business certification sections, and lodging personnel record the hotel, stay, rent, and documentation obtained to verify government business.
Who needs it
A government employee claiming the exemption and lodging personnel documenting the guest’s stay and proof of government business complete the form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the guest declares the information true and correct under penalty of perjury and signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Government Employee Exemption Claim Form PDF.
- 2
Complete The Guest Section
Fill in the employee and agency details, provide the certification, and sign and date the form.
- 3
Complete The Lodging Section
Have lodging personnel record the hotel and stay details and the documentation obtained to verify government business.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Government Employee Exemption Claim Form for?
- It documents a government employee’s claim for an exemption from transient occupancy tax and Santa Ynez Valley Tourism Business Improvement District charges for a room.
- Who completes the form?
- The government employee claiming the exemption completes the guest section. Lodging personnel complete the hotel, stay, payment, and proof-of-government-business sections.
- Do I need a notary for the Government Employee Exemption Claim Form?
- No. The form has no notary block. The guest declares the information true and correct under penalty of perjury, then signs and dates it.
- How do I submit the Government Employee Exemption Claim Form?
- Submit it to the city department named on the form; check the city website for current contact details.