Holland, NY · Erie County
Town of Holland Payment Voucher
This payment voucher lets a claimant request payment from the Town of Holland for materials, services, or disbursements provided to the municipality.
What this form is
Claimants use this voucher to itemize materials or services provided to the municipality and certify that the amount claimed is true, correct, and unpaid. It asks for the claimant’s name and address, invoice details, item descriptions, quantities, prices, total amount, date, signature, and title. Detailed invoices may be attached, with their total entered on the voucher.
Who needs it
A claimant seeking payment from the Town of Holland for materials, services, or disbursements provided to the municipality needs this voucher.
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 claimant signs and dates the certification, and no notarized attachment or related step is stated.
How to submit this form
- 1
Download The Voucher
Download the Town of Holland payment voucher PDF.
- 2
Complete The Claimant Details
Enter the claimant’s name and address, invoice details, and descriptions, quantities, and prices for the materials or services.
- 3
Attach Detailed Invoices
Attach detailed invoices if needed and enter their total on the voucher.
- 4
Sign And Submit
Date and sign the claimant’s certification, add the title, and submit the voucher to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Town of Holland payment voucher?
- No. The claimant signs and dates the certification without a notary. The form permits detailed invoices to be attached but does not state that they must be notarized.
- How do I submit the payment voucher?
- The document does not specify a submission address or method. Submit it to the city department named on the form and check the city website for current contact details.
- What information does the payment voucher ask for?
- It asks for claimant and invoice information, a description and cost of materials or services, the total amount, and the claimant’s dated signature and title.
Need something notarized?
This Town of Holland Payment Voucher doesn’t need a notary — but if you have another Holland form that does, a commissioned online notary can help.