Butte, MT · Silver Bow County
Animal Services Voluntary Statement
This form lets a person provide a voluntary written statement to the Butte-Silver Bow Animal Services Department and certify that its contents are true.
What this form is
Use this form when providing a voluntary statement to the Butte-Silver Bow Animal Services Department. It asks for the person’s address, statement, date, name, driver’s license number, phone number, and signature, and includes a certification that the statement is true and was not prompted.
Who needs it
A person choosing to give the Butte-Silver Bow Animal Services Department a written statement can use this 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 statement is signed without a notary; the person giving it signs and dates the statement.
How to submit this form
- 1
Download The Form
Download the Animal Services Voluntary Statement PDF.
- 2
Complete The Statement
Fill in your contact details and written statement, then complete the date and signature fields.
- 3
Review The Certification
Read the certification that the statement is true and was not prompted.
- 4
Submit To The Department
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Animal Services Voluntary Statement?
- It is a form for giving a voluntary written statement to the Butte-Silver Bow Animal Services Department, with space to certify the statement’s contents.
- Who can use this statement form?
- A person choosing to give the department a written statement can complete it with their contact details, statement, date, and signature.
- Do I need a notary for the Animal Services Voluntary Statement?
- No. This statement is signed without a notary; the person giving it signs and dates the statement.
- How do I submit the statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Animal Services Voluntary Statement doesn’t need a notary — but if you have another Butte form that does, a commissioned online notary can help.