What is the Declaration of Non-Responsibility?

This Arabic-language form lets a recipient explain that they were not driving or responsible for the vehicle when the infraction occurred.

Do I need a notary for the Declaration of Non-Responsibility?

No. The signer signs and dates the declaration under penalty of perjury; the form does not require notarization.

How do I submit the Declaration of Non-Responsibility?

Complete and sign it, then return it to Lynnwood Municipal Court at 19321 44th Avenue West, Lynnwood, Washington 98036.

What information does the form request?

It asks for the infraction notice number, license plate and state, the reason for non-responsibility, and the driver's name and contact information.

Lynnwood, WA · Snohomish County

No notary required

Declaration of Non-Responsibility

This Arabic-language form lets a recipient of a traffic infraction notice explain why they were not responsible for the vehicle or violation.

What this form is

Use this form if you received an infraction notice and were not driving, or the vehicle was stolen, sold, or under another person's care or control when the violation occurred. It asks for the notice and plate details, the reason for non-responsibility, and the driver's information. It also includes a written statement for a mitigation or contested infraction hearing.

Who needs it

A person who received an infraction notice and says they were not driving or responsible for the vehicle at the time may use this form.

How to submit it

Return the completed, signed declaration to Lynnwood Municipal Court, 19321 44th Avenue West, Lynnwood, Washington 98036.

About notarization

This document is signed without a notary; the signer declares the information true under penalty of perjury and signs and dates it.

How to submit this form

1
Download The Form
Download the Arabic Declaration of Non-Responsibility.
2
Complete The Form
Enter the notice and vehicle details, select the reason, and provide the driver's information requested.
3
Gather Supporting Information
If available, include a police report for a stolen vehicle, a licensing department sale report, or information about the person who had the vehicle.
4
Sign And Submit
Sign and date the declaration, then return it to Lynnwood Municipal Court at the address on the form.

Frequently asked questions

What is the Declaration of Non-Responsibility?: This Arabic-language form lets a recipient explain that they were not driving or responsible for the vehicle when the infraction occurred.
Do I need a notary for the Declaration of Non-Responsibility?: No. The signer signs and dates the declaration under penalty of perjury; the form does not require notarization.
How do I submit the Declaration of Non-Responsibility?: Complete and sign it, then return it to Lynnwood Municipal Court at 19321 44th Avenue West, Lynnwood, Washington 98036.
What information does the form request?: It asks for the infraction notice number, license plate and state, the reason for non-responsibility, and the driver's name and contact information.

Need something notarized?

This Declaration of Non-Responsibility doesn’t need a notary — but if you have another Lynnwood form that does, a commissioned online notary can help.