Do I need a notary for the Waste Hauler Permit Application?

No. The application has a signature and date line but no notary block; the authorized signer signs and dates it. The document lists no notarized or sworn attachment.

What information does the application request?

It asks for applicant and organization details, waste types, recycling collection methods, service areas, disposal sites, and information for each vehicle used for permitted activities.

What fees are listed on the application?

The application lists a $25 permit fee, which includes one vehicle, and a $10 registration fee for each additional vehicle.

Chautauqua County, NY · Chautauqua County

No notary required

Waste Hauler Permit Application

Waste haulers use this application to request a calendar-year permit from the Chautauqua County Division of Solid Waste.

At a glance

Issued by: City of Chautauqua County · Chautauqua County, Chautauqua County, New York
Notarization: Not required: file this form without a notary.
Official source: chqgov.com
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application requests a calendar-year waste hauler permit from the Chautauqua County Division of Solid Waste. It collects business and organization details, waste types, service areas, disposal sites, and information for vehicles used in permitted activities. Applicants also provide the listed fee and insurance documentation, agree to release and indemnification terms, and certify that they have read the Waste Hauler Permit Packet.

Who needs it

Businesses and organizations seeking permission to haul waste for disposal through Chautauqua County must complete this application.

How to submit it

Send the completed, signed application, required fee, workers’ compensation and disability coverage proof or exemption form, and liability insurance proof to the Chautauqua County Division of Solid Waste, 3889 Towerville Road, Jamestown, New York 14701.

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the authorized signer just signs and dates it.

How to submit this form

1
Download the Application
Get the fillable Waste Hauler Permit Application from the Chautauqua County Division of Solid Waste forms page.
2
Complete the Application
Fill in applicant, waste, service area, disposal site, and vehicle information, then sign and date the certification.
3
Gather Required Items
Include the full application fee, workers’ compensation and disability coverage proof or exemption form, and liability insurance proof.
4
Send It to the County
Send the completed application and required items to the Division of Solid Waste at 3889 Towerville Road, Jamestown, New York 14701.

Frequently asked questions

Do I need a notary for the Waste Hauler Permit Application?: No. The application has a signature and date line but no notary block; the authorized signer signs and dates it. The document lists no notarized or sworn attachment.
How do I submit the Waste Hauler Permit Application?: Send the signed application, full application fee, required workers’ compensation and disability coverage proof or exemption form, and liability insurance proof to the Division of Solid Waste at the address listed.
What information does the application request?: It asks for applicant and organization details, waste types, recycling collection methods, service areas, disposal sites, and information for each vehicle used for permitted activities.
What fees are listed on the application?: The application lists a $25 permit fee, which includes one vehicle, and a $10 registration fee for each additional vehicle.

Need something notarized?

This Waste Hauler Permit Application doesn’t need a notary, but if you have another Chautauqua County form that does, a commissioned online notary can help.