Lacey, WA · Thurston County

No notary required

Acknowledgement of Responsibilities for Professionals Doing Tree Removal

This acknowledgement is for licensed contractors and professional foresters doing land clearing work in Lacey to confirm their tree and vegetation protection responsibilities.

What this form is

The form records a professional’s acknowledgement of Lacey’s tree and vegetation protection requirements and responsibility for following permit or exemption conditions. It asks for the signer’s name, signature, date, and city business license number. The document states that a land clearing permit or exemption must be obtained before land clearing work, as defined in the form.

Who needs it

Licensed professional contractors and professional foresters doing land clearing work in Lacey should complete this acknowledgement.

How to submit it

The form names Lacey’s Community & Economic Development Department at 420 College Street SE, Lacey, WA 98503, and lists (360) 491-5642.

About notarization

This acknowledgement is signed and dated without a notary; it contains no notary block or notarized attachment.

How to submit this form

  1. 1

    Download The Form

    Download the tree removal responsibilities acknowledgement PDF.

  2. 2

    Complete The Acknowledgement

    Enter your printed name, signature, date, and city business license number.

  3. 3

    Check The Form

    The document lists no attachment to gather.

  4. 4

    Submit To The Department

    Submit the completed form to Lacey’s Community & Economic Development Department at the address shown on the form.

Frequently asked questions

Who completes the tree removal responsibilities acknowledgement?
The form is for a duly licensed professional contractor in Washington State or a professional forester doing land clearing work in Lacey.
What information does the form request?
It requests the signer’s printed name, signature, date, and city business license number. City staff can fill in the official-use fields.
Do I need a notary for this tree removal acknowledgement?
No. This acknowledgement is signed and dated without a notary; it contains no notary block or notarized attachment.
How do I submit the acknowledgement?
The form names Lacey’s Community & Economic Development Department at 420 College Street SE, Lacey, WA 98503. It also lists the department phone number.

Need something notarized?

This Acknowledgement of Responsibilities for Professionals Doing Tree Removal doesn’t need a notary — but if you have another Lacey form that does, a commissioned online notary can help.