What information does the fictitious business name statement ask for?

It asks for the business name and address, business type, commencement date or N/A, and registrant names and addresses. The registrant must declare the information true and correct.

Do I need a notary for the Fictitious Business Name Statement?

No. The statement is signed and dated without a notary. The form also mentions an affidavit of publication but does not say it must be notarized or sworn.

Does the form describe a publication step?

Yes. Its instructions say that certain original, new, or refiled statements must be published once a week for four successive weeks, and that an affidavit of publication must be filed with the county clerk.

Siskiyou County, CA · Siskiyou County

No notary required

Fictitious Business Name Statement

This form lets business registrants file a fictitious business name statement with the Siskiyou County Clerk and provide business and ownership details.

At a glance

Issued by: City of Siskiyou County · Siskiyou County, Siskiyou County, California
Notarization: Not required: file this form without a notary.
Official source: siskiyoucounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this statement to report a fictitious business name, the business address, the type of business, its start date, and information about each registrant. It is filed with the county clerk where the registrant has a principal place of business in California; the form names the Siskiyou County Clerk and lists a filing fee. The instructions also describe publication requirements for certain filings.

Who needs it

A person or business registering a fictitious business name with the Siskiyou County Clerk should complete this statement.

How to submit it

File it with the Siskiyou County Clerk-Registrar of Voters at 311 4th St., Room 201, Yreka, CA 96097. The form lists a $37 filing fee, plus $2 for each additional business and/or registrant.

About notarization

This statement is signed and dated without a notary; the form also describes filing an affidavit of publication, but does not say that affidavit must be notarized or sworn.

How to submit this form

1
Download the Statement
Download the fillable Fictitious Business Name Statement.
2
Complete the Form
Enter the fictitious business name, business address, business type, commencement date or N/A, and registrant details.
3
Review Publication Instructions
Check the form's instructions for publication requirements that may apply and the affidavit of publication filing step.
4
Sign and File
Sign and date the statement, then file it with the Siskiyou County Clerk-Registrar of Voters at the address listed on the form.

Frequently asked questions

What information does the fictitious business name statement ask for?: It asks for the business name and address, business type, commencement date or N/A, and registrant names and addresses. The registrant must declare the information true and correct.
Do I need a notary for the Fictitious Business Name Statement?: No. The statement is signed and dated without a notary. The form also mentions an affidavit of publication but does not say it must be notarized or sworn.
How do I submit the Fictitious Business Name Statement?: File it with the Siskiyou County Clerk-Registrar of Voters at 311 4th St., Room 201, Yreka, CA 96097. The form lists a $37 fee, plus $2 for each additional business and/or registrant.
Does the form describe a publication step?: Yes. Its instructions say that certain original, new, or refiled statements must be published once a week for four successive weeks, and that an affidavit of publication must be filed with the county clerk.

Need something notarized?

This Fictitious Business Name Statement doesn’t need a notary, but if you have another Siskiyou County form that does, a commissioned online notary can help.