Bothell, WA · King County

No notary required

Declaration of Inability to Pay Fine on Traffic, Parking, or Camera Tickets

Bothell Municipal Court defendants use this form to request a fine reduction, payment plan, or community service for traffic, parking, or camera tickets.

What this form is

People charged with traffic, parking, or camera tickets may complete and submit this declaration to Bothell Municipal Court to request a reduction in fines, a payment plan, or community service in lieu of a fine. The form asks for the defendant’s name and citation or case number, public-benefit and employment information, income and dependents when applicable, and a signed certification that the answers are true and correct.

Who needs it

A person charged with a traffic, parking, or camera ticket who wants to request a fine reduction, payment plan, or community service may submit this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The document identifies Bothell Municipal Court.

About notarization

This declaration is signed without a notary; the signer certifies under penalty of perjury that the information is true and correct.

How to submit this form

  1. 1

    Download The Declaration

    Download the Declaration of Inability to Pay Fine on Traffic, Parking, or Camera Tickets.

  2. 2

    Complete The Form

    Enter your name and citation or case number, answer the questions that apply, and sign and date the declaration.

  3. 3

    Review Supporting Materials

    The document does not list any required attachments; review the completed answers before submitting.

  4. 4

    Submit To Bothell Municipal Court

    Submit the completed declaration to Bothell Municipal Court. Check the city website for current contact details.

Frequently asked questions

What can I request with this Bothell ticket form?
The declaration lets people charged with traffic, parking, or camera tickets request a reduction in fine amounts, a payment plan, or community service in lieu of a fine.
What information does the declaration ask for?
It asks for your name and citation or case number, public-benefit and employment information, and income and dependent information when applicable. You also sign a certification that your answers are true and correct.
Do I need a notary for the Declaration of Inability to Pay Fine?
No. This declaration is signed without a notary; the signer certifies under penalty of perjury that the information is true and correct.
How do I submit the Declaration of Inability to Pay Fine?
The document says to complete and submit it to Bothell Municipal Court but does not provide a submission address or method. Check the city website for current contact details.

Need something notarized?

This Declaration of Inability to Pay Fine on Traffic, Parking, or Camera Tickets doesn’t need a notary — but if you have another Bothell form that does, a commissioned online notary can help.