Arlington Heights, IL · Cook County

No notary required

Above Ground/In-Ground Swimming Pool Statement of Acknowledgment

This form records a pool owner's acknowledgment of Arlington Heights regulations and agreement to follow applicable codes and obtain required inspections before pool use.

What this form is

The form documents that the signer has read the village's regulations for above-ground or in-ground swimming pools and agrees to comply with applicable building and zoning codes. It also records the job-site address, date, printed name, and signature, and confirms the signer will obtain required building, electrical, and plumbing inspections before using the pool as part of the permit.

Who needs it

A person signing for an above-ground or in-ground swimming pool permit in Arlington Heights needs this form to acknowledge regulations and inspection requirements.

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 without a notary; it contains no sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Above Ground/In-Ground Swimming Pool Statement of Acknowledgment.

  2. 2

    Complete the Form

    Enter the date, job-site address, and printed name, then sign the acknowledgment.

  3. 3

    Gather Attachments

    The document text does not list any attachments.

  4. 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 swimming pool acknowledgment confirm?
The signer confirms they have read the village's pool regulations, will comply with applicable building and zoning codes, and will obtain required inspections before using the pool.
What information does the form ask for?
It asks for the job-site address, date, printed name, and signature. The signer acknowledges the regulations and required building, electrical, and plumbing inspections.
Do I need a notary for the swimming pool acknowledgment?
No. This document is signed without a notary; it contains no sworn attachment, so the signer just signs and dates it.
How do I submit the swimming pool acknowledgment?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Above Ground/In-Ground Swimming Pool Statement of Acknowledgment doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.