Lake Stevens, WA · Snohomish County

No notary required

Short-Term Rental Self-Certification

Short-term rental owners or operators use this form to certify required fire and life-safety features at the rental property.

What this form is

This form lets a short-term rental owner or operator certify that the property has the listed fire extinguishers, smoke and carbon monoxide detectors, and clearly marked exits. It also asks the signer to affirm that photo evidence of these items has been provided and to declare that the information is accurate, true, and complete for the application.

Who needs it

An owner or operator seeking approval for a short-term rental uses this form to certify the listed safety conditions at the property.

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 owner or operator signs and dates it, and the form asks for photo evidence of the listed safety items.

How to submit this form

  1. 1

    Download The Form

    Download the Short-Term Rental Self-Certification PDF.

  2. 2

    Complete The Form

    Enter the owner or operator name and site address, then certify the listed safety conditions.

  3. 3

    Gather Photo Evidence

    Provide photo evidence of the fire extinguishers, detectors, and clearly marked exits listed on the form.

  4. 4

    Submit To The City

    Submit the signed and dated form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What does the Short-Term Rental Self-Certification cover?
It certifies that the rental has the listed fire extinguishers, smoke and carbon monoxide detectors, and clearly marked exits. The signer also affirms that photo evidence of these items has been provided.
Who completes this form?
The short-term rental owner or operator completes the form, provides the site address, certifies the listed safety conditions, and signs and dates it.
Do I need a notary for the Short-Term Rental Self-Certification?
No. The owner or operator signs and dates this document without a notary; the form asks for photo evidence of the listed safety items.
How do I submit the Short-Term Rental Self-Certification?
Submit it to the city department named on the form; check the city website for current contact details.