How do I submit the commemorative planting request?

Submit requests for Village parks to the Parks Committee. Submit requests for other locations to the Department of Public Works.

What information does the form ask for?

It asks for donor or purchaser contact information, a desired location, the park name, optional plaque lettering, payment details, and the applicant’s signature and date.

Who decides whether a planting site is available?

The Department of Public Works has final say on the availability of sites.

Brockport, NY · Monroe County

No notary required

Commemorative Planting Donation Request Form

Donors use this form to request a commemorative planting in a Village of Brockport park or another location and provide details for the request.

What this form is

The form lets a donor or purchaser request a commemorative planting and provide contact information, a desired location, the park name, and optional plaque lettering. Submit the request for Village review: park requests go to the Parks Committee, while requests for other locations go to the Department of Public Works. The Department of Public Works has final say on available sites.

Who needs it

A person seeking a commemorative planting in a Village park or another location should complete and submit this donation request form.

How to submit it

For a Village park, submit the form to the Parks Committee; for any other location, submit it to the Department of Public Works. Contact DPW for current prices at [email protected] or 585-637-1060.

About notarization

This form is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

1
Download The Form
Download the Commemorative Planting Donation Request Form.
2
Complete The Request
Provide donor or purchaser contact information, the desired location and park name, and optional plaque lettering.
3
Review Payment Details
Contact the Department of Public Works for current prices; payment is collected upon approval.
4
Submit To The Village
Send a Village park request to the Parks Committee, or a request for another location to the Department of Public Works.

Frequently asked questions

Do I need a notary for the Commemorative Planting Donation Request Form?: No. This form is signed and dated without a notary; the signer just signs and dates it.
How do I submit the commemorative planting request?: Submit requests for Village parks to the Parks Committee. Submit requests for other locations to the Department of Public Works.
What information does the form ask for?: It asks for donor or purchaser contact information, a desired location, the park name, optional plaque lettering, payment details, and the applicant’s signature and date.
Who decides whether a planting site is available?: The Department of Public Works has final say on the availability of sites.

Need something notarized?

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