Lynnwood, WA · Snohomish County

No notary required

Declaration of Non-Responsibility (Vietnamese)

This Vietnamese-language form lets a person who was not driving explain why they are not responsible for a Lynnwood traffic violation notice.

What this form is

Use this form if you received a traffic violation notice but were not driving the vehicle when the violation occurred. It asks for the notice number, vehicle details, the reason the vehicle was not your responsibility, and your contact information. The signer declares the information true under penalty of perjury and may provide supporting information such as a police report, sale report, or driver details.

Who needs it

A person who received a traffic violation notice but was not driving the vehicle at the time of the violation may use this form.

How to submit it

Return the completed and signed declaration to Lynnwood Municipal Court, 19321 44th Ave W, Lynnwood, WA 98036.

About notarization

This document is signed without a notary; the signer dates and signs the declaration under penalty of perjury, with no notarized attachment specified.

How to submit this form

  1. 1

    Download The Form

    Download the Vietnamese Declaration of Non-Responsibility PDF.

  2. 2

    Complete The Declaration

    Enter the notice and vehicle information, select the reason, and provide your contact details.

  3. 3

    Gather Supporting Information

    You may provide a police report, a vehicle sale report, or details about the person who had care, custody, or control of the vehicle.

  4. 4

    Sign And Submit

    Date and sign the declaration under penalty of perjury, then return it to Lynnwood Municipal Court at the address on the form.

Frequently asked questions

Do I need a notary for the Declaration of Non-Responsibility?
No. The form does not require a notary. The signer dates and signs the declaration under penalty of perjury.
Who can use this declaration?
A person who received a traffic violation notice but was not driving the vehicle at the time may use the form to explain why they are not responsible.
What information does the form request?
It asks for the notice number, vehicle plate and state, the reason the vehicle was not your responsibility, and your contact information. Supporting information may also be provided.
How do I submit the Declaration of Non-Responsibility?
Return the completed and signed declaration to Lynnwood Municipal Court, 19321 44th Ave W, Lynnwood, WA 98036.

Need something notarized?

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