Ferndale, WA · Whatcom County

No notary required

Late Fee Adjustment Request Form

Ferndale residents use this form to request a courtesy adjustment to a late fee and acknowledge the one-adjustment-per-calendar-year limit.

What this form is

This form lets a person request a late fee adjustment from the City of Ferndale. By submitting it, the signer acknowledges that they are eligible for only one courtesy late fee adjustment per calendar year and that this request serves as that adjustment. The form asks for the service address, account number, email, printed name, phone number, signature, and date.

Who needs it

A person seeking a courtesy late fee adjustment from the City of Ferndale uses this form and acknowledges the one-per-calendar-year limit.

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 request is signed and dated without a notary; it contains no notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the Late Fee Adjustment Request Form.

  2. 2

    Complete The Form

    Enter the service address, account number, email, printed name, and phone number.

  3. 3

    Sign And Date

    Sign and date the request, acknowledging the one-courtesy-adjustment-per-calendar-year limit.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Late Fee Adjustment Request Form do?
It lets a person request a courtesy late fee adjustment and acknowledges that only one adjustment is available per calendar year.
What information does the form ask for?
It asks for the service address, account number, email, printed name, phone number, signature, and date.
Do I need a notary for the Late Fee Adjustment Request Form?
No. The request is signed and dated without a notary, and it has no notarized or sworn attachment or related step.
How do I submit the Late Fee Adjustment Request Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Late Fee Adjustment Request Form doesn’t need a notary — but if you have another Ferndale form that does, a commissioned online notary can help.