Upper Brookville, NY · Nassau County
Excavation Affidavit
The Excavation Affidavit is for a property owner or agent applying for excavation work in the Incorporated Village of Upper Brookville and affirming compliance with underground-facility requirements.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
This affidavit identifies the property and application, and lets the owner or agent affirm that the application will comply with New York State Rule 753 regarding underground facilities. The Village provides it for excavation applications; the form also gives contact information for notifying underground operators. Complete the property, application, signer, and date details, then submit the signed and notarized affidavit as part of the Village’s application process.
Who needs it
A property owner or the owner’s agent applying for excavation work in the Incorporated Village of Upper Brookville needs to complete this affidavit.
Why it needs a notary
The form has a “Sworn to before me” jurat; the property owner or agent making the affirmation signs before the notary.
How to get this notarized
- 1
Download the Form
Get the Excavation Affidavit from the Incorporated Village of Upper Brookville.
- 2
Fill In the Details
Complete the property, application, signer-role, and date information.
- 3
Book an Online Notary
Arrange a remote notarization with a commissioned online notary.
- 4
- 5
Submit to the Village
Send the completed affidavit with your excavation application to the Village.
Preview the form
The blank PDF straight from Upper Brookville. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Excavation Affidavit?
- Fill in the property and application details, identify the signer’s role, and provide the date. The property owner or agent must sign before a notary, then submit the affidavit with the Village application.
- Do I need to sign this affidavit before a notary?
- Yes. The form includes a “Sworn to before me” jurat, so the person making the affirmation should sign before the notary.
- Can I use a commissioned online notary?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c. Ask the Village whether it will accept a remotely notarized version for your application.
- Where do I submit the completed affidavit?
- The form is for an excavation application with the Incorporated Village of Upper Brookville. Confirm the submission process with the Village; confirm with the city, town or village if unsure.
Other forms in Upper Brookville
Excavation Affidavit in other Nassau County cities
Each city publishes its own version of this form. Pick the city where you’re filing.