Bethany, CT · New Haven County
Statement of Use – Home Occupation
Bethany’s Statement of Use records information about a home occupation, including its activities, employees, and operating hours, for an owner or agent to submit for municipal review.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form covers licensed day care centers, home-based businesses, and customary home occupations. It asks for property and activity details, other accessory uses, employee count, and hours of operation, followed by an owner or agent’s certification that the information is accurate. Staff review the form and record required and available parking spots, initials, and the review date.
Who needs it
An owner or agent completing an application for a licensed day care center, home-based business, or customary home occupation can use this statement to provide details for review.
Why it needs a notary
The form has an acknowledgment block stating the instrument was acknowledged before a notary public; the owner or agent signs the certification before the notary.
How to get this notarized
- 1
Download the Form
Get Bethany’s Statement of Use for a home occupation.
- 2
Fill In the Details
Complete the property, activity, accessory-use, employee, and hours information requested.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary for the acknowledgment.
- 4
Sign on Video
The owner or agent signs the certification before the notary during the online session.
- 5
Submit to the City
Submit the completed form for municipal review; check with the town about submission instructions.
Preview the form
The blank PDF straight from Bethany. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Statement of Use?
- Provide the requested property, home occupation, activity, accessory-use, employee, and hours details. The owner or agent certifies the information and acknowledges the signature before a notary.
- Do I need a notary for this form?
- The form includes an acknowledgment before a notary public. The owner or agent should sign the certification before the notary.
- Can I sign this form with an online notary?
- Connecticut authorizes remote online notarization by a commissioned online notary under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b, effective October 1, 2023. The form text does not specify whether the town accepts remote notarization.
- Where do I submit the completed form?
- The form includes a staff review section but does not state submission instructions. Confirm with the town clerk if unsure.