Hempstead, NY · Nassau County

No notary required

Application for Use of Fire Hydrant to Fill Tank Trucks

Tank truck companies use this application to request permission to fill their vehicles at designated Town of Hempstead fire hydrants.

What this form is

This application is for companies seeking to use designated Town of Hempstead fire hydrants to fill tank trucks. It asks for company contact information and each truck’s vehicle license number, make, and tank capacity. The form states a $50 fire hydrant use fee per vehicle is due with the application and lists safety and use terms that the owner accepts by signing and dating.

Who needs it

A company seeking to use designated Town of Hempstead fire hydrants to fill one or more tank trucks needs to complete this application.

How to submit it

Submit the application to the Town of Hempstead Department of Water, 1995 Prospect Avenue, East Meadow, New York 11554. Pay the $50 fee per vehicle with the application by check payable to the Town of Hempstead Water Department.

About notarization

This application is signed and dated by the owner without a notary; the form lists no sworn attachment or notarized step.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Hempstead application for using a fire hydrant to fill tank trucks.

  2. 2

    Complete Company And Truck Details

    Enter company contact information and the license number, make, and tank capacity for each truck.

  3. 3

    Review The Terms

    Review the hydrant-use terms; the form does not list any attachments to gather.

  4. 4

    Sign And Submit

    The owner signs and dates the application. Submit it with the $50-per-vehicle fee to the Department of Water.

Frequently asked questions

Do I need a notary for the Fire Hydrant Tank Truck Application?
No. The owner signs and dates this application without a notary, and the form lists no sworn attachment or notarized step.
How do I submit the Fire Hydrant Tank Truck Application?
Submit it to the Town of Hempstead Department of Water at 1995 Prospect Avenue, East Meadow, New York 11554. Include the $50 fee per vehicle by check payable to the Town of Hempstead Water Department.
What information does the application request?
It requests the company name, address, and telephone number, plus each tank truck’s vehicle license number, make, and tank capacity.
What rules apply to using a hydrant to fill a tank truck?
The form says only designated hydrants and authorized tank trucks may be used. It also requires a 12-inch air break while filling and asks users to minimize water spillage.

Need something notarized?

This Application for Use of Fire Hydrant to Fill Tank Trucks doesn’t need a notary — but if you have another Hempstead form that does, a commissioned online notary can help.