Do I need a notary for the Commemorative Bench Request Form?

No. The form has an applicant signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.

How do I submit the Commemorative Bench Request Form?

For a bench in a Village park, submit it to the Parks Committee. For other locations, submit it to the Department of Public Works.

When is payment collected?

The form states that payment will be collected upon approval. It directs applicants to contact DPW for current prices.

Brockport, NY · Monroe County

No notary required

Commemorative Bench Request Form

Donors use this form to request a commemorative bench in Brockport and provide the proposed location, optional plaque wording, and purchaser contact information.

What this form is

Use this form to request a commemorative bench that recognizes, remembers, or honors someone in the Village of Brockport. It asks for donor or purchaser contact details, the desired bench location, optional plaque lettering, and payment amounts; the Department of Public Works has final say on available sites, and payment is collected upon approval.

Who needs it

A donor or purchaser seeking a commemorative bench in Brockport should complete this form with the desired location and any optional plaque wording.

How to submit it

For a bench in a Village park, submit the form to the Parks Committee, which forwards it to DPW and the Village Board. For other locations, submit it to the Department of Public Works, which forwards it to the Village Board.

About notarization

This form is signed and dated without a notary; it lists no sworn or notarized attachment, so the applicant just signs and dates it.

How to submit this form

1
Download The Form
Download the Commemorative Bench Request Form PDF.
2
Complete The Request
Fill in donor or purchaser details, the desired bench location, and any optional plaque lettering.
3
Add Payment Details
Enter the listed bench, plaque, cement pad, and freight amounts; the form says payment is collected upon approval.
4
Sign And Submit
Sign and date the form, then submit it to the Parks Committee for a Village park or to the Department of Public Works for other locations.

Frequently asked questions

Do I need a notary for the Commemorative Bench Request Form?: No. The form has an applicant signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.
How do I submit the Commemorative Bench Request Form?: For a bench in a Village park, submit it to the Parks Committee. For other locations, submit it to the Department of Public Works.
What information does the form ask for?: It requests donor or purchaser names and contact information, the desired bench location, optional plaque lettering, payment amounts, and the applicant’s signature and date.
When is payment collected?: The form states that payment will be collected upon approval. It directs applicants to contact DPW for current prices.

Need something notarized?

This Commemorative Bench Request Form doesn’t need a notary — but if you have another Brockport form that does, a commissioned online notary can help.