Do I need a notary for the Vacation Rental Application?

No. The owner signs and dates the application’s declaration under penalty of perjury; the form does not require notarization. An on-site well requires a bacteriologic analysis.

What information does the application ask for?

It asks for the property owner’s contact information, the vacation rental site address and phone number, sewage and water details, and whether the property has a pool or spa.

What attachment is required for a property with an on-site well?

If drinking water comes from an on-site well, the form says to submit a bacteriologic analysis indicating that the water is safe to drink.

Siskiyou County, CA · Siskiyou County

No notary required

Vacation Rental Application

Siskiyou County property owners use this application to provide Environmental Health information when seeking a vacation rental use permit.

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

This application provides information for Siskiyou County Environmental Health to evaluate a request for a vacation rental use permit. It asks for the owner’s contact details and rental site address, details about sewage disposal and drinking water, and whether the property has a pool or spa. Applicants must sketch the house, septic system, and well locations; an on-site well requires a bacteriologic analysis indicating the water is safe to drink.

Who needs it

A property owner seeking a vacation rental use permit from Siskiyou County should complete this application and provide the requested property and utility information.

How to submit it

Submit it to Siskiyou County Environmental Health Division at 806 South Main Street, Yreka, California 96097. The form lists phone and fax numbers but does not specify them as submission methods.

About notarization

This application is signed without a notary; the owner signs and dates a declaration under penalty of perjury, and an on-site well requires bacteriologic analysis.

How to submit this form

1
Download the Application
Download the Siskiyou County Vacation Rental Application PDF.
2
Complete the Application
Enter owner and rental site details, answer the sewage, water, and pool questions, and sketch the house, septic system, and well on the back.
3
Gather Required Analysis
If the dwelling uses an on-site well for drinking water, include a bacteriologic analysis indicating the water is safe to drink.
4
Sign and Submit
Sign and date the declaration, then submit the application to Environmental Health at 806 South Main Street, Yreka, California 96097.

Frequently asked questions

Do I need a notary for the Vacation Rental Application?: No. The owner signs and dates the application’s declaration under penalty of perjury; the form does not require notarization. An on-site well requires a bacteriologic analysis.
How do I submit the Vacation Rental Application?: Submit it to Siskiyou County Environmental Health Division at 806 South Main Street, Yreka, California 96097. The form lists phone and fax numbers but does not specify them as submission methods.
What information does the application ask for?: It asks for the property owner’s contact information, the vacation rental site address and phone number, sewage and water details, and whether the property has a pool or spa.
What attachment is required for a property with an on-site well?: If drinking water comes from an on-site well, the form says to submit a bacteriologic analysis indicating that the water is safe to drink.

Need something notarized?

This Vacation Rental Application doesn’t need a notary, but if you have another Siskiyou County form that does, a commissioned online notary can help.