Do I need a notary for the temporary road use permit?

No. The form has a signature and date line but no notary block. It asks for a comprehensive general liability policy naming the County as an additional insured.

How do I submit the special event road use permit?

The form names the Chemung County Department of Public Works at 803 Chemung Street, Horseheads, NY 14845-2288, but does not state a submission method. Check the county website for current contact details.

What information does the permit application request?

It requests event dates and times, requested roads, activity details, contact information, and the name of the person in charge.

What insurance does the form require?

The form says a comprehensive general liability policy naming the County of Chemung as an additional insured is required.

Chemung County, NY · Chemung County

No notary required

Permit for Temporary Use of Right-of-Way (Special Events)

Organizations use this permit application to request temporary use of Chemung County roads for a planned special event.

At a glance

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

What this form is

This application requests permission to reserve county roads for a special event, with fields for event dates and times, activity details, contact information, and the person in charge. The form states that the permit requires County Attorney approval and asks for a comprehensive general liability policy naming the County as an additional insured. County approvals and permit conditions also apply.

Who needs it

An organization planning a special event that requires temporary use of Chemung County roads should complete this permit application.

How to submit it

The form identifies the Chemung County Department of Public Works at 803 Chemung Street, Horseheads, NY 14845-2288. It does not specify a submission method; check the county website for current contact details.

About notarization

This document is signed and dated without a notary; the signer must provide the required liability insurance policy, but the form does not say it must be notarized.

How to submit this form

1
Download the Permit
Download the temporary right-of-way permit application for special events.
2
Complete the Application
Provide the requested event dates, roads, activity details, and contact information.
3
Gather the Insurance Policy
Include a comprehensive general liability policy naming the County as an additional insured.
4
Submit to Public Works
The form lists the Chemung County Department of Public Works in Horseheads; check the county website for current submission details.

Frequently asked questions

Do I need a notary for the temporary road use permit?: No. The form has a signature and date line but no notary block. It asks for a comprehensive general liability policy naming the County as an additional insured.
How do I submit the special event road use permit?: The form names the Chemung County Department of Public Works at 803 Chemung Street, Horseheads, NY 14845-2288, but does not state a submission method. Check the county website for current contact details.
What information does the permit application request?: It requests event dates and times, requested roads, activity details, contact information, and the name of the person in charge.
What insurance does the form require?: The form says a comprehensive general liability policy naming the County of Chemung as an additional insured is required.

Need something notarized?

This Permit for Temporary Use of Right-of-Way (Special Events) doesn’t need a notary, but if you have another Chemung County form that does, a commissioned online notary can help.