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Poughkeepsie, NY · Dutchess County

No notary required

Plumbing Authorization Form

The Town of Poughkeepsie form lets a property owner authorize a licensed plumber to obtain a plumbing permit on the owner's behalf.

What this form is

A property owner uses this form to state that they hired the listed licensed plumber to take out a plumbing permit on their behalf. It asks for the date, property address, owner's name, licensed plumber's name, and the property owner's signature.

Who needs it

Property owners who have hired a licensed plumber to obtain a plumbing permit on their behalf need this form.

How to submit it

The form lists the Town of Poughkeepsie at One Overocker Road, Poughkeepsie, NY 12603. It also provides phone and fax numbers, but does not give submission instructions.

About notarization

This form is signed without a notary; it mentions no notarized or sworn attachment, and the property owner signs it.

How to submit this form

  1. 1

    Download The Form

    Download the Plumbing Authorization Form.

  2. 2

    Complete The Form

    Enter the date, property address, owner's name, and licensed plumber's name.

  3. 3

    Sign And Submit

    The property owner signs the form. It lists the Town of Poughkeepsie at One Overocker Road, Poughkeepsie, NY 12603.

Frequently asked questions

What does the Plumbing Authorization Form do?
It lets a property owner state that they hired the licensed plumber named on the form to obtain a plumbing permit on their behalf.
Who completes this form?
The property owner provides the date, property address, owner's name, and licensed plumber's name, then signs the form.
Do I need a notary for the Plumbing Authorization Form?
No. This form is signed without a notary, and it mentions no notarized or sworn attachment; the property owner signs it.
How do I submit the Plumbing Authorization Form?
The form lists the Town of Poughkeepsie at One Overocker Road, Poughkeepsie, NY 12603, but does not specify how to submit it.

Need something notarized?

This Plumbing Authorization Form doesn’t need a notary — but if you have another Poughkeepsie form that does, a commissioned online notary can help.