Lacey, WA · Thurston County
Disclaimer of Responsibility
Property owners use this form to disclaim responsibility for future tenants’ utility bills at listed properties and acknowledge related account conditions.
What this form is
This form lets a property owner disclaim responsibility for future tenants’ utility bills at the listed properties. It explains that the owner remains responsible for unpaid bills of tenants already established at those addresses, and that the City requires a $150 deposit for water and sewer accounts as a result. The form also describes water service and notice conditions tied to new renters.
Who needs it
A property owner seeking to disclaim responsibility for future tenants’ utility bills at one or more listed properties needs this form.
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 and dated without a notary; it lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Disclaimer of Responsibility form for utility billing.
- 2
List The Properties
Enter the properties you want included in the disclaimer.
- 3
Sign And Date
Sign and date the form.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Disclaimer of Responsibility do?
- It lets a property owner disclaim responsibility for future tenants’ utility bills at listed properties. The owner remains responsible for unpaid bills of tenants already established at those addresses.
- Is a deposit required for water and sewer accounts?
- The form states that the City requires a $150 deposit for water and sewer accounts as a result of the disclaimer.
- Do I need a notary for the Disclaimer of Responsibility?
- No. This document is signed and dated without a notary, and it lists no notarized or sworn attachment or related step.
- How do I submit the Disclaimer of Responsibility?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Disclaimer of Responsibility doesn’t need a notary — but if you have another Lacey form that does, a commissioned online notary can help.
