How do I submit the Non-Highway Vehicle Application and Permit?

Bring the completed form in person to St. Jacob Village Hall at 213 N. Douglas St. Include the inspection report, proof of insurance, and waiver of liability form.

What attachments are required with the application?

The instructions list an inspection report, proof of insurance, and a waiver of liability form. The form also says a photocopy of insurance is required and must specifically cover the non-highway vehicle.

Does the permit need to be renewed?

The application says the permit expires on December 31 and that operating on Village streets requires annual renewal, including an inspection and proof of insurance.

St. Jacob, IL · Madison County

No notary required

Non-Highway Vehicle Application and Permit

This application and permit is for operators seeking permission to use a non-highway vehicle on St. Jacob streets.

What this form is

Use this application to request a Village of St. Jacob permit to operate a non-highway vehicle on Village streets. The instructions say to submit it with an inspection report, proof of insurance, and a waiver of liability form. It asks for applicant and vehicle details, insurance information, and a signature acknowledging the Village’s ordinances and annual renewal requirement.

Who needs it

Operators seeking to use a non-highway vehicle on Village streets must complete the application and provide the listed inspection, insurance, and waiver documents.

How to submit it

Bring the completed form in person to St. Jacob Village Hall, 213 N. Douglas St. Include the inspection report, proof of insurance, and waiver of liability form; make the check payable to the Village of St. Jacob.

About notarization

This document is signed without a notary; the operator signs and dates the application and liability waiver, with no notarized or sworn attachment mentioned.

How to submit this form

1
Download The Application
Download the Non-Highway Vehicle Application and Permit PDF.
2
Complete The Application
Provide the applicant, driver’s license, insurance, and vehicle information, then sign and date the application and waiver.
3
Gather The Required Documents
Include the inspection report, proof of insurance, and waiver of liability form.
4
Bring It To Village Hall
Bring the materials in person to St. Jacob Village Hall, 213 N. Douglas St., and make the check payable to the Village of St. Jacob.

Frequently asked questions

Do I need a notary for the Non-Highway Vehicle Application and Permit?: No. This document is signed without a notary; the operator signs and dates the application and liability waiver, and no notarized or sworn attachment is mentioned.
How do I submit the Non-Highway Vehicle Application and Permit?: Bring the completed form in person to St. Jacob Village Hall at 213 N. Douglas St. Include the inspection report, proof of insurance, and waiver of liability form.
What attachments are required with the application?: The instructions list an inspection report, proof of insurance, and a waiver of liability form. The form also says a photocopy of insurance is required and must specifically cover the non-highway vehicle.
Does the permit need to be renewed?: The application says the permit expires on December 31 and that operating on Village streets requires annual renewal, including an inspection and proof of insurance.

Need something notarized?

This Non-Highway Vehicle Application and Permit doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.