What information does the affidavit ask for?

It asks for the ticket number, vehicle license plate number and state, your signature and date, printed name, telephone number, email, and street address.

How do I submit the affidavit?

Mail it to Mercer Island Municipal Court, 12835 Newcastle Way, Suite 301, Newcastle, WA 98056. The form says to record the ticket number accurately so the Court can match your declaration to the violation.

Do I need a notary for the School Bus Arm Safety Program Affidavit of Non-Liability?

No. Sign and date the affidavit without a notary. The form includes a declaration under penalty of perjury that the information is true and correct.

Mercer Island, WA · King County

No notary required

School Bus Arm Safety Program Affidavit of Non-Liability

This affidavit lets a vehicle owner declare they were not driving when a school bus safety program violation occurred and submit the declaration to Mercer Island Municipal Court.

What this form is

Use this affidavit to declare that you were not operating the vehicle when the occurrence listed on a Mercer Island School Bus Safety Program Notice of Violation happened. It asks for the ticket number, vehicle license plate and state, your signature and contact details, and a declaration under penalty of perjury. The form says to mail it to Mercer Island Municipal Court.

Who needs it

A person who received a School Bus Safety Program Notice of Violation and says they were not operating the vehicle at the time of the occurrence should complete this affidavit.

How to submit it

Mail the affidavit to Mercer Island Municipal Court, 12835 Newcastle Way, Suite 301, Newcastle, WA 98056. The form says the ticket number must be accurate so the Court can match the declaration to the violation.

About notarization

This affidavit is signed and dated without a notary; the signer declares under penalty of perjury that the information is true and correct.

How to submit this form

1
Download The Affidavit
Download the School Bus Arm Safety Program Affidavit of Non-Liability PDF.
2
Complete The Form
Enter the ticket number accurately, provide the vehicle license plate and state, and fill in your contact details.
3
Sign And Date
Sign and date the declaration stating that you were not operating the vehicle at the time of the occurrence.
4
Mail The Affidavit
Mail the completed affidavit to Mercer Island Municipal Court at 12835 Newcastle Way, Suite 301, Newcastle, WA 98056.

Frequently asked questions

What information does the affidavit ask for?: It asks for the ticket number, vehicle license plate number and state, your signature and date, printed name, telephone number, email, and street address.
How do I submit the affidavit?: Mail it to Mercer Island Municipal Court, 12835 Newcastle Way, Suite 301, Newcastle, WA 98056. The form says to record the ticket number accurately so the Court can match your declaration to the violation.
Do I need a notary for the School Bus Arm Safety Program Affidavit of Non-Liability?: No. Sign and date the affidavit without a notary. The form includes a declaration under penalty of perjury that the information is true and correct.

Need something notarized?

This School Bus Arm Safety Program Affidavit of Non-Liability doesn’t need a notary — but if you have another Mercer Island form that does, a commissioned online notary can help.