Waterville, NY · Oneida County
Facility Use Request
This request lets organizations and businesses ask to use a Village of Waterville facility for an activity or program open to the general public.
What this form is
Use this request to ask the Village of Waterville to use a community room, conference room, firehouse, park, or another facility. The form asks for contact details, activity dates and hours, expected attendance, intended use, and insurance information. It also requires a written Certificate of Insurance with the request, subject to a possible case-by-case Village Board approval when the group lacks the required insurance.
Who needs it
An organization or business seeking to hold a program open to the general public at a Village of Waterville facility needs this request.
How to submit it
Submit the request and written Certificate of Insurance to the Village Clerk at 122 S. Stafford Ave., Waterville, NY 13480.
About notarization
This request is signed and dated without a notary; it requires a written Certificate of Insurance, but does not say that certificate must be notarized.
How to submit this form
- 1
Download The Request
Download the Facility Use Request PDF.
- 2
Complete The Request
Provide applicant, organization, activity, facility, attendance, and insurance details, then sign and date the request.
- 3
Gather The Certificate
Include the written Certificate of Insurance requested by the form.
- 4
Submit To The Village Clerk
Send the request and certificate to the Village Clerk at 122 S. Stafford Ave., Waterville, NY 13480.
Frequently asked questions
- Do I need a notary for the Facility Use Request?
- No. The request is signed and dated without a notary. It asks for a written Certificate of Insurance, but does not state that the certificate must be notarized.
- How do I submit the Facility Use Request?
- Submit the completed request and written Certificate of Insurance to the Village Clerk at 122 S. Stafford Ave., Waterville, NY 13480.
- What information does the request ask for?
- It asks for applicant and organization contact details, the activity date and hours, facility and intended use, expected attendance, and insurance company and policy information.
- What insurance does the form request?
- The form calls for a written Certificate of Insurance with minimum liability coverage of $1,000,000, naming the Village of Waterville as additional insured and certificate holder. The Village Board may approve a request without the required insurance case by case.