Bellevue, WA · King County

No notary required

Franchise Bill-to Form

Franchise applicants use this form to identify billing contacts and select the franchise applicant or bill-to contact for project charges.

What this form is

The form identifies who should receive bills for review or inspection time related to a franchise project, in addition to fees paid at submittal or before issuance. It asks for contact and billing details and a selection from the listed franchise applicants and bill-to contacts. A contractor submitting on behalf of a franchise holder must attach a letter of authorization from that holder.

Who needs it

Franchise applicants provide billing information, and contractors submitting on a franchise holder’s behalf must include that holder’s letter of authorization.

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 form is completed without a notary; it mentions no sworn attachment or related notarized step, and the applicant provides billing information.

How to submit this form

  1. 1

    Download The Form

    Download the Franchise Bill-to Form PDF.

  2. 2

    Complete The Form

    Enter the requested contact and billing information and select the applicable franchise applicant and bill-to contact.

  3. 3

    Gather Required Attachment

    If a contractor submits on behalf of a franchise holder, attach a letter of authorization from the franchise holder.

  4. 4

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Franchise Bill-to Form?
No. This form is completed without a notary and does not mention a sworn attachment or related notarized step.
Who uses the Franchise Bill-to Form?
Franchise applicants provide billing information on this form. A contractor submitting for a franchise holder must attach that holder’s letter of authorization.
What information does the form request?
It requests contact and billing details and asks the applicant to select from the listed franchise applicants and bill-to contacts.
How do I submit the Franchise Bill-to Form?
The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Franchise Bill-to Form doesn’t need a notary — but if you have another Bellevue form that does, a commissioned online notary can help.