Dutchess County, NY · Dutchess County
Item Pricing Requirement Waiver
Retail stores in Dutchess County use this application to request a waiver from the item pricing requirement.
At a glance
- Issued by
- City of Dutchess County · Dutchess County, Dutchess County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- dutchessny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application lets a retail store request an item pricing requirement waiver from the Dutchess County Division of Weights & Measures. The waiver is contingent on passing a pricing accuracy inspection, and the application must include a non-refundable fee based on the store’s retail area. It asks for store and parent company details, square footage, fee selection, and an authorized representative’s signature.
Who needs it
A retail store seeking an item pricing requirement waiver must provide the store information, square footage, applicable fee, and an authorized representative’s signature.
How to submit it
Send the application to the Dutchess County Department of Behavioral & Community Health, Division of Weights & Measures, at 98 Peach Road, Poughkeepsie, NY 12601. Include the non-refundable fee by check payable to “Dutchess County Commissioner of Finance.”
About notarization
This document is signed and dated by an authorized representative without a notary; the form does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the Item Pricing Requirement Waiver application for the retail store.
- 2
Complete Store Details
Enter the store and contact information, parent company details if applicable, and actual retail square footage.
- 3
Select the Fee and Sign
Check the fee category, include the required non-refundable fee, and have an authorized representative provide an original signature and date.
- 4
Submit to the County
Send the application and check to the Dutchess County Division of Weights & Measures at the address on the form.
Frequently asked questions
- What is the Item Pricing Requirement Waiver application?
- It is an application for a retail store to request a waiver from the item pricing requirement. The form collects store and parent company details, retail square footage, fee selection, and an authorized representative’s signature.
- Who can apply for an item pricing waiver?
- A retail store seeking a waiver can use this application. The form states that granting a waiver is contingent on the store passing a pricing accuracy inspection.
- Do I need a notary for the Item Pricing Requirement Waiver?
- No. The form calls for an original signature and date from an authorized representative, but does not require notarization or identify a notarized or sworn attachment.
- How do I submit the Item Pricing Requirement Waiver?
- Send the completed application to the Division of Weights & Measures at 98 Peach Road, Poughkeepsie, NY 12601. Include a check for the non-refundable fee, payable to Dutchess County Commissioner of Finance.