Waterville, NY · Oneida County
Facility Use Request
Organizations and businesses use this application to request a Village of Waterville facility for a public program or other activity.
What this form is
The Facility Use Request asks an eligible community group or business to request a Village facility for an activity open to the general public. Applicants identify the organization, contact person, facility, dates, hours, expected attendance, intended use, and insurance details. The form requires a written Certificate of Insurance naming the Village as additional insured and certificate holder, with at least $1,000,000 liability coverage; the Village Board may approve or reject requests.
Who needs it
A local community-based service group or a business sponsoring a program open to the general public can submit this request.
How to submit it
Submit the completed form and written Certificate of Insurance to the Village Clerk at 122 Barton Ave., Waterville, N.Y. 13480.
About notarization
This application is signed and dated without a notary; include the required written Certificate of Insurance, which the form does not describe as notarized or sworn.
How to submit this form
- 1
Download The Application
Download the Facility Use Request form.
- 2
Complete The Request
Provide organization and contact details, requested facility and dates, hours, expected attendance, intended use, and insurance information.
- 3
Gather The Insurance Certificate
Include a written Certificate of Insurance naming the Village as additional insured and certificate holder, with at least $1,000,000 liability coverage.
- 4
Submit To The Village Clerk
Send the completed application and insurance certificate to the Village Clerk at 122 Barton Ave., Waterville, N.Y. 13480.
Frequently asked questions
- Do I need a notary for the Facility Use Request?
- No. The application is signed and dated without a notary. Include the required written Certificate of Insurance; the form does not describe it as notarized or sworn.
- How do I submit the Facility Use Request?
- Submit the completed application and written Certificate of Insurance to the Village Clerk at 122 Barton Ave., Waterville, N.Y. 13480.
- What insurance does the application require?
- The form requires a written Certificate of Insurance naming the Village of Waterville as additional insured and certificate holder, with minimum liability coverage of $1,000,000.