Rhinebeck, NY · Dutchess County

No notary required

Authorization and Consent Form

Property owners use this form to document their consent for another person to perform described work at a property in Rhinebeck.

What this form is

This form records a property owner’s consent for a named person to perform described work at a specified site. It asks for the owner’s contact details, the site address, a description of the work, and the worker’s name and contact details. The form does not state when the Village requires it or provide additional submission instructions.

Who needs it

A property owner completing this form provides consent for the named person to perform the work described at the listed site.

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 document is signed without a notary; the property owner just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Authorization and Consent Form PDF.

  2. 2

    Complete the Form

    Enter the owner’s and worker’s contact details, the work site address, and a description of the work.

  3. 3

    Sign and Date

    The property owner signs and dates the consent.

  4. 4

    Submit to the City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Authorization and Consent Form do?
It records a property owner’s consent for a named person to perform described work at a site. It collects contact details for the owner and worker.
Who completes this form?
The form is for a property owner to provide consent. It asks for the owner’s information, the work site and description, and the person doing the work.
Do I need a notary for the Authorization and Consent Form?
No. The property owner signs and dates this form without a notary.
How do I submit the Authorization and Consent Form?
The form does not specify a submission method or department. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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