Port Orchard, WA · Kitsap County
Refund Request Form
The Refund Request Form lets a person or company ask Port Orchard to refund a payment for a permit, application, deposit, appeal, or other item.
What this form is
Use this form to request a refund for a payment related to an issued permit, permit application, deposit, appeal, or other item. It asks for file and payment details, the reason for the request, who should receive the refund, mailing information, and the requester’s contact details, signature, and date.
Who needs it
A person or company seeking a refund for a payment connected to a Port Orchard permit, application, deposit, appeal, or other item should complete it.
How to submit it
Mail the completed form to the Permit Center at 216 Prospect St., Port Orchard, WA 98366, or email it to [email protected].
About notarization
This form is signed and dated without a notary; the requester just provides a signature and date, and no notarized or sworn attachment is listed.
How to submit this form
- 1
Download The Form
Download the Port Orchard Refund Request Form PDF.
- 2
Complete The Form
Enter the file and payment information, refund reason, recipient details, and requester contact information.
- 3
Sign And Date
Provide the requester’s signature and date. The form lists no notarized or sworn attachment.
- 4
Submit To The Permit Center
Mail the completed form to 216 Prospect St., Port Orchard, WA 98366, or email it to [email protected].
Frequently asked questions
- What is the Port Orchard Refund Request Form for?
- It is used to request a refund for a payment on an issued permit, permit application, deposit, appeal, or other item.
- What information does the form ask for?
- It asks for file and payment details, the reason for the refund, the refund recipient and mailing address, and the requester’s contact information, signature, and date.
- Do I need a notary for the Port Orchard Refund Request Form?
- No. The requester signs and dates this form; it lists no notarized or sworn attachment.
- How do I submit the Port Orchard Refund Request Form?
- Mail the completed form to the Permit Center at 216 Prospect St., Port Orchard, WA 98366, or email it to [email protected].
Need something notarized?
This Refund Request Form doesn’t need a notary — but if you have another Port Orchard form that does, a commissioned online notary can help.