Saratoga, CA · Santa Clara County
Government Agency Exemption Claim Form
Government representatives use this form to claim a transient occupancy tax exemption for hotel charges paid by their agency during official business.
What this form is
This form certifies that a government agency paid, or will pay, hotel charges incurred by its representative on official business. The claimant identifies the hotel, stay dates, agency, and applicable exemption category, then signs a declaration under penalty of perjury. Hotel operators are instructed to collect the claimant’s photo identification and proof of government employment and official business, and retain copies with the form.
Who needs it
A government representative seeking an exemption for hotel charges paid by their agency during official business needs to complete this form.
How to submit it
Provide the hotel operator with this form, photo identification, and proof of government employment and official business. The operator keeps the form and copies of the supporting documents with retained records.
About notarization
This form is signed without a notary; the signer declares under penalty of perjury that the information is true, correct, and complete.
How to submit this form
- 1
Download the Form
Download the Government Agency Exemption Claim Form.
- 2
Complete the Claim
Enter the hotel and agency details, stay dates, hotel charges, and applicable exemption category, then sign, print your name and title, and date it.
- 3
Gather Supporting Documents
Prepare photo identification, proof of government employment, and proof that the stay is for official government business.
- 4
Provide It to the Hotel Operator
Give the form and supporting documents to the hotel operator; the operator retains the form and copies of the documents.
Frequently asked questions
- Who can use the Government Agency Exemption Claim Form?
- A government representative seeking an exemption for hotel charges paid by their agency for official business can complete the form.
- What supporting documents must the claimant provide?
- The form says the claimant must provide photo identification, proof of government employment, and proof that the stay is for official government business.
- Do I need a notary for the Government Agency Exemption Claim Form?
- No. The signer declares under penalty of perjury that the information is true, correct, and complete, but the form has no notary block.
- How do I submit the Government Agency Exemption Claim Form?
- Provide it to the hotel operator with the required identification and proof. The operator keeps the form and copies of the claimant’s documents with retained records.