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

No. The form does not require a notary, but the signer declares under penalty of perjury that the information is true and signs and dates it.

Who can use the Declaration of Non-Responsibility?

A recipient of an infraction notice who was not driving may use it to state that the vehicle was stolen, sold, or in another person's care, custody, or control.

What information or attachments does the form request?

It asks for the notice number, plate and state, driver information, contact details, and a signature. The form says you may also provide a police report for a stolen vehicle or a Department of Licensing sale report.

Lynnwood, WA · Snohomish County

No notary required

Declaration of Non-Responsibility

This declaration lets a person who was not driving respond to a Lynnwood Municipal Court infraction notice by stating why they are not responsible.

What this form is

This form is for a recipient of an infraction notice who was not driving the vehicle at the time of the violation; it identifies theft, sale, or another person's care, custody, or control as possible explanations. It asks for the notice number, vehicle plate and state, driver details, contact information, and a signed statement under penalty of perjury. It also includes a written declaration section for a mitigation or contested hearing.

Who needs it

A person who received an infraction notice and was not driving the vehicle at the time of the violation can complete this declaration.

How to submit it

Mail the completed and signed declaration to Lynnwood Municipal Court, 19321 44th Ave W, Lynnwood, Washington 98036, as directed on the form.

About notarization

This declaration is signed without a notary; the signer makes a statement under penalty of perjury and signs and dates it.

How to submit this form

1
Download The Form
Download the Declaration of Non-Responsibility.
2
Complete The Declaration
Enter the notice number, vehicle plate and state, relevant driver details, contact information, and the requested statement.
3
Gather Supporting Documents
If applicable, include a police report showing the vehicle was stolen or a Department of Licensing report showing it was sold.
4
Sign And Date
Sign and date the declaration under penalty of perjury.
5
Mail It To The Court
Mail the completed declaration to Lynnwood Municipal Court at the address printed 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, but the signer declares under penalty of perjury that the information is true and signs and dates it.
Who can use the Declaration of Non-Responsibility?: A recipient of an infraction notice who was not driving may use it to state that the vehicle was stolen, sold, or in another person's care, custody, or control.
How do I submit the Declaration of Non-Responsibility?: Mail the completed and signed declaration to Lynnwood Municipal Court, 19321 44th Ave W, Lynnwood, Washington 98036.
What information or attachments does the form request?: It asks for the notice number, plate and state, driver information, contact details, and a signature. The form says you may also provide a police report for a stolen vehicle or a Department of Licensing sale report.

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.