Auburn, WA · King County

No notary required

Public Service Announcement Request Form

Nonprofit organizations use this form to request that an event or meeting announcement be aired on TV21 in Auburn.

What this form is

This form lets a nonprofit organization request a TV21 public service announcement for an event or meeting. The city’s requirements say messages must be submitted in writing, be 30 words or less, and include what, when, where, and a phone number; announcements air for no more than four weeks. The form asks for event details, organization contact information, and start and end dates.

Who needs it

A nonprofit organization requesting a TV21 announcement for an event or meeting in Auburn should complete this form.

How to submit it

Mail the completed form to the Mayor’s Office, 25 West Main Street, Auburn, WA 98001. The form says TV21 must receive the PSA at least five business days before its start date.

About notarization

This form is signed without a notary; it contains no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Public Service Announcement Request Form PDF.

  2. 2

    Complete The Form

    Enter the event title, date and time, location, information phone number, nonprofit organization, contact details, and start and end dates.

  3. 3

    Prepare The Message

    Submit the message in writing, keep it to 30 words or less, and include what, when, where, and a phone number.

  4. 4

    Mail The Form

    Mail the completed form to the Mayor’s Office, 25 West Main Street, Auburn, WA 98001, at least five business days before the start date.

Frequently asked questions

Do I need a notary for the Public Service Announcement Request Form?
No. The form does not require notarization or mention a sworn attachment; the signer just signs and dates it.
How do I submit the Public Service Announcement Request Form?
Mail the completed form to the Mayor’s Office, 25 West Main Street, Auburn, WA 98001. TV21 must receive the PSA at least five business days before its start date.
Who can request a TV21 public service announcement?
The form requires the organization to be nonprofit. It asks for event or meeting details, organization contact information, and the requested announcement start and end dates.
What are the announcement requirements?
Messages must be submitted in writing, be 30 words or less, and include what, when, where, and a phone number. An announcement airs for no more than four weeks, and a new form is required for each new message.

Need something notarized?

This Public Service Announcement Request Form doesn’t need a notary — but if you have another Auburn form that does, a commissioned online notary can help.