Redmond, WA · King County
Refund Request Form
Permit holders use this form to request a refund by providing contact, permit, fee, and refund-reason information to the city.
What this form is
This form lets a permit holder request a permit refund and includes a reference to the city's refund policy. It asks for the requester's contact information, company and payee, permit number, original fee amount, and reason for the refund. The property owner or authorized agent certifies the request is true and correct, signs and dates it, and may provide information for reimbursement by check.
Who needs it
A permit holder or authorized agent requesting a refund should complete this form and provide the requested permit and reimbursement information.
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 document is signed without a notary; the property owner or authorized agent signs and dates the request, with no notarized attachment or related step mentioned.
How to submit this form
- 1
Download the Form
Download the Refund Request Form.
- 2
Complete the Request
Provide your contact details, permit number, original fee amount, and reason for the refund.
- 3
Add Check Reimbursement Details
If requesting reimbursement by check, complete the payee and mailing address section.
- 4
Sign and Submit
The property owner or authorized agent signs and dates the form, then submits it to the city department named on the form.
Frequently asked questions
- What is the Refund Request Form for?
- It is used to request a permit refund. The form asks for contact details, permit information, the original fee amount, and the reason for the refund.
- Do I need a notary for the Refund Request Form?
- No. The property owner or authorized agent signs and dates the request; the form does not mention a notarized attachment or related step.
- How do I submit the Refund Request Form?
- Submit it to the city department named on the form. The document does not provide submission contact details, so check the city website for current information.
Need something notarized?
This Refund Request Form doesn’t need a notary — but if you have another Redmond form that does, a commissioned online notary can help.