Des Moines, WA · King County
SEPA Environmental Checklist
This checklist collects project and environmental information from an applicant for review by the agency requesting it, and includes a signature acknowledgment that must be completed before a notary.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The checklist asks applicants to describe a proposed project, its location, permits, and potential effects on topics such as water, plants, transportation, and utilities. Des Moines provides it for an applicant to complete when the agency requests a checklist for its review; nonproject actions have a supplemental section. The applicant swears that the information is true and correct, and the form includes a notarial acknowledgment of the applicant’s signature.
Who needs it
An applicant whose proposed project or nonproject action is under agency review should complete this checklist when requested by the agency.
Why it needs a notary
The form carries a notarial acknowledgment block; the applicant signs the checklist and personally appears before the notary to acknowledge the signature.
How to get this notarized
- 1
Download the Checklist
Get the SEPA Environmental Checklist from the City of Des Moines and check whether the agency has requested any additional information.
- 2
Complete the Form
Fill in the project and environmental sections that apply, including the supplemental sheet for nonproject actions when requested.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary and have the completed form and identification ready.
- 4
Sign on Video
Appear by video and acknowledge your signature before the notary. Follow the notary’s instructions for completing the notarial block.
- 5
Submit to the City
Send the notarized checklist to the agency that requested it, following its submission instructions.
Preview the form
The blank PDF straight from Des Moines. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the SEPA checklist notarized?
- Complete the checklist, then book a commissioned online notary. Sign during the video session and follow the city’s instructions for submitting the completed form.
- Do I need to complete the supplemental sheet?
- The form labels Section D as a supplemental sheet for nonproject actions. Ask the requesting agency which sections apply to your submission.
- Can I sign this form with an online notary?
- Washington authorizes remote online notarization by its notaries under RCW 42.45.280. Check that the city accepts an electronically notarized version before proceeding.
- What should I bring to my notarization appointment?
- Have the completed checklist ready, but wait to sign until you are with the notary. Bring acceptable identification and confirm with the city or town if unsure about submission requirements.