Monroe County, NY · Monroe County

No notary required

Right of Way Permit Supplement Under Labor Law Section 224-F

This supplement is completed by applicants for work permits within a Monroe County right of way to answer questions and certify compliance with Labor Law Section 224-F.

At a glance

Issued by
City of Monroe County · Monroe County, Monroe County, New York
Notarization
Not required: file this form without a notary.
Official source
monroecounty.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Applicants for work permits within a Monroe County right of way complete this questionnaire and certification. The answers determine whether Labor Law Section 224-F applies, including whether the work requires a contractual prevailing-wage agreement. The form asks about the applicant, utility and provider relationships, contract dates, and the project; the signer certifies the information and agrees to provide specified records if the law applies.

Who needs it

Applicants for a work permit within a Monroe County right of way must complete the questionnaire and certification.

How to submit it

Submit the form to the Monroe County Department of Transportation; the document does not provide an address or submission method, so check the county website for current contact details.

About notarization

This document is signed and dated without a notary; it includes a copy of Labor Law Section 224-F, but no notarized or sworn attachment is specified.

How to submit this form

  1. 1

    Download the Supplement

    Download the Right of Way Permit Supplement for work in a Monroe County right of way.

  2. 2

    Complete the Questionnaire

    Answer the questions about the applicant, utility relationships, providers, contracts, and project.

  3. 3

    Review the Attached Text

    Read the included copy of Labor Law Section 224-F if the questionnaire indicates that it applies.

  4. 4

    Sign and Date

    Print the requested name and entity information, then sign and date the certification.

  5. 5

    Submit to the County

    Submit the form to the Monroe County Department of Transportation; check the county website for current contact details.

Frequently asked questions

Who completes the Right of Way Permit Supplement?
Applicants for work permits within a Monroe County right of way complete the questionnaire and certification.
What does the supplement ask about?
It asks about the applicant, utility and provider relationships, contract dates, and project. The answers help determine whether Labor Law Section 224-F applies.
Do I need a notary for the Right of Way Permit Supplement?
No. The document is signed and dated without a notary. It includes a copy of Labor Law Section 224-F, but does not specify a notarized or sworn attachment.
How do I submit the supplement?
Submit it to the Monroe County Department of Transportation. The document does not give an address or submission method; check the county website for current contact details.

Need something notarized?

This Right of Way Permit Supplement Under Labor Law Section 224-F doesn’t need a notary, but if you have another Monroe County form that does, a commissioned online notary can help.