Pine Plains, NY · Dutchess County
Brush and Leaves Permission Slip
Pine Plains residents use this permission slip to identify themselves and authorize a grantee to receive the town’s free brush and leaves service.
What this form is
This permission slip lets a Pine Plains resident grant permission to a named grantee for the town’s free brush and leaves service. It asks for the resident’s name and address, the resident’s signature and date, and the grantee’s name, signature, and date. The form specifies that the service is for small branches and leaves only.
Who needs it
Pine Plains residents who want to grant a named grantee permission related to the town’s free brush and leaves service should complete this slip.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This permission slip is signed without a notary; the resident and grantee sign and date the form.
How to submit this form
- 1
Download The Permission Slip
Download the Brush and Leaves Permission Slip.
- 2
Complete The Form
Enter the resident’s name and address, the grantee’s name, and the requested signatures and dates.
- 3
Check The Service Limit
The form states that the free service is for small branches and leaves only.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Brush and Leaves Permission Slip for?
- It records a Pine Plains resident’s permission for a named grantee related to the town’s free brush and leaves service, which is limited to small branches and leaves.
- What information does the permission slip ask for?
- The form asks for the resident’s name and address, the resident’s signature and date, and the grantee’s name, signature, and date.
- Do I need a notary for the Brush and Leaves Permission Slip?
- No. This permission slip is signed without a notary; the resident and grantee sign and date the form.
- How do I submit the Brush and Leaves Permission Slip?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Brush and Leaves Permission Slip doesn’t need a notary — but if you have another Pine Plains form that does, a commissioned online notary can help.