DuPont, WA · Pierce County
Financial Responsibility Form
This form records the applicant and financially responsible party for a City of DuPont project and is submitted to the city.
What this form is
The Financial Responsibility Form records a City file number, project name, applicant details, and the contact information of the financially responsible party. The document does not state when the city requires it. It provides signature, date, and printed-name fields for the signer.
Who needs it
An applicant providing financial responsibility information for a City of DuPont project needs to complete and submit this form.
How to submit it
Submit the completed form to [email protected], as directed on the form.
About notarization
This document is signed without a notary; the signer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Financial Responsibility Form PDF.
- 2
Complete The Fields
Enter the project, applicant, and financially responsible party information requested on the form.
- 3
Sign And Date
Have the signer provide a signature, date, and printed name.
- 4
Email The Form
Send the completed form to [email protected].
Frequently asked questions
- What information does the Financial Responsibility Form request?
- It asks for the city file number, project name, applicant details, and the financially responsible party’s contact information, plus a signature, date, and printed name.
- How do I submit the Financial Responsibility Form?
- Email the completed form to [email protected], the submission address printed on the form.
- Do I need a notary for the Financial Responsibility Form?
- No. This document is signed without a notary; the signer just signs and dates the form.
Need something notarized?
This Financial Responsibility Form doesn’t need a notary — but if you have another DuPont form that does, a commissioned online notary can help.