Dutchess County · County government
Dutchess County government forms
43 forms published by Dutchess County offices. You can download these and submit them yourself; none of them need a notary.
Dutchess County forms (no notary required)
No notary requiredAnnual Vehicle Information FormDutchess County companies use this annual form to provide vehicle details, including make, model, license number, capacity, identification number, and vehicle type.
No notary requiredApplication for a Certificate of Waiver from Asbestos Sampling RequirementPublic water supply owners use this application to request a Dutchess County waiver from asbestos sampling requirements for their distribution system.
No notary requiredApplication for a Certificate of Waiver From Disinfection RequirementPublic water supply owners use this application to request a waiver from the disinfection requirement from the Dutchess County Department of Health.
No notary requiredApplication for a U.S. PassportThis federal application is for people seeking a U.S. passport book, passport card, or both; applicants complete it and apply in person.
No notary requiredApplication for Approval of <5 GPM WellDutchess County property owners, engineers, or developers use this application to request approval for a well with a yield under five gallons per minute.
No notary requiredApplication for Approval of a Residential Sewage Disposal SystemThis application is for applicants and building inspectors seeking Dutchess County Health Department approval of a residential sewage disposal system.
No notary requiredApplication for Approval of Plans for a Wastewater Disposal SystemThis application is for applicants seeking approval of wastewater disposal system plans for a project in Dutchess County.
No notary requiredApplication for Approval of Plans for Public Water Supply ImprovementWater system applicants use this application to seek approval of public water supply improvement plans and provide project, cost, engineering, and service-area information.
No notary requiredApplication for Approval of Swimming Pool Plans and SpecificationsThis application requests approval of plans and specifications for constructing or altering an artificial swimming pool and its appurtenances.
No notary requiredApplication for Extension of ApprovalProperty owners use this application to ask the Dutchess County Department of Health to extend an existing approval for a property.
No notary requiredApplication for Index NumberThis application requests an index number for a Dutchess County Supreme Court action or proceeding and is completed by the plaintiff, defendant, or their attorney.
No notary requiredApplication for Permit to Sell or Distribute Tobacco ProductsDutchess County businesses use this application to request or renew a permit to sell or distribute tobacco products at a facility.
No notary requiredApplication to Access RecordsDutchess County residents and businesses use this application to request Department of Health records related to parcels, facilities, investigations, and other listed subjects.
No notary requiredApplication to Construct or Abandon a Water WellProperty owners submit this application to the Dutchess County Department of Health to construct or abandon a water well.
No notary requiredCertification of Construction ComplianceEngineers complete this form to certify that a project was installed according to its construction permit, certificate of approval, and approved plans.
No notary requiredCertification of Fill for Sewage Disposal SystemsThis form documents fill installation for a sewage disposal system and is completed and submitted by the project engineer to Dutchess County.
No notary requiredChange of Information for Precious Metal LicenseDutchess County precious metal license owners use this form to report changes to business or home contact information and the effective date.
No notary requiredChecklist for Application for a Permit to Sell or Distribute Tobacco and Vaping ProductsDutchess County business owners use this checklist and application to request or renew a permit to sell or distribute tobacco and vaping products.
No notary requiredCommunity Event RequestDutchess County organizations use this form to request Health Department participation or materials for a community event.
No notary requiredConsecutive Agreement Information for Public Water Systems That Purchase WaterThis form records information about public water systems that purchase water and the services, sampling responsibilities, and agreements between the seller and purchaser.
No notary requiredConsolidated and Expedited Permitting and Review ApplicationDutchess County project applicants use this application to request consideration for consolidated and expedited permitting and review.
No notary requiredData Request FormDutchess County Department of Behavioral & Community Health uses this form to collect information from people or organizations requesting data.
No notary requiredDeep Test ResultsThis form records deep test results and related property details for property owners, engineers, and others involved in directing or documenting the test.
No notary requiredDesignation of Water Operator in Responsible ChargeThis form designates the operator in responsible charge of a water system and is completed by the system owner and designated operator.
No notary requiredEngineering Report for Swimming Pool PlansThis engineering report records swimming pool design and operating details for an engineer or architect submitting plans to the Dutchess County Health Department.
No notary requiredF.A.V.O.R. Veterans Discount Program ApplicationDutchess County veterans use this application to provide service and contact information for the F.A.V.O.R. Find & Assist Veterans of Record Discount Program.
No notary requiredItem Pricing Requirement WaiverRetail stores in Dutchess County use this application to request a waiver from the item pricing requirement.
No notary requiredNYS Firearms License Request for Public Records ExemptionApplicants and current firearms license holders use this form to request that information about their application or license not be a public record.
No notary requiredOath of OfficeDutchess County elected officials and appointees use this form to record their office, department or agency, term, and oath.
No notary requiredOwner-Occupied Property Rehabilitation Program ApplicationDutchess County homeowners use this application to request assistance for eligible rehabilitation work on their owner-occupied, single-family homes.
No notary requiredPercolation Test DataThis form records percolation test results and is completed by the person conducting or directing the tests for the Dutchess County Department of Health.
No notary requiredPublic Notification Certification FormPublic water systems use this form to certify that they notified consumers about a violation or situation and distributed the required public notice.
No notary requiredRed Hook Transfer Tax – Community Preservation FundGrantors and grantees use this form to report a Red Hook property conveyance and calculate any community preservation transfer tax due.
No notary requiredRequest for Pistol Permit Transfer From Dutchess CountyThis form requests a transfer of a pistol permit from Dutchess County and is completed by the permit holder who is moving to another county.
No notary requiredReturn the F.A.V.O.R. Discount Program Merchant ApplicationDutchess County businesses use this application to enroll in the Return the F.A.V.O.R. discount program and describe the discount they offer.
No notary requiredSample Site Identification and CertificationThis sample form helps public water systems identify lead sampling sites and certify how lead and copper samples were collected.
No notary requiredSampling Requirement or Treatment Technique Waiver Request FormPublic water supply owners or operators use this form to request a waiver from a sampling requirement or treatment technique from Dutchess County.
No notary requiredSeptic System Repair/Replacement/Refurbishment Contractor SupplementContractors and property owners use this form to document completed repairs, replacements, or refurbishments to an existing single-family residential septic system.
No notary requiredSeptic System Repair/Replacement/Refurbishment FormDutchess County property owners and contractors use this form to give notice of intent to repair, replace, or refurbish an existing residential septic system.
No notary requiredSewer/Water Adequacy Change of UseThis form lets an applicant or property owner provide Dutchess County Health Department with project and water and sewage details for a proposed change of use.
No notary requiredSolid Waste Disposal License ApplicationDutchess County businesses applying for a solid waste disposal license use this packet to provide company, vehicle, insurance, and disclosure information.
No notary requiredSubordination Request FormBanks and mortgage agencies use this form to provide Dutchess County with information needed to prepare and process a subordination.
No notary requiredWaiver Request FormEngineers use this form to request a specific waiver from a health standard for a project and provide the property owner’s authorization.