Onondaga County, NY · Onondaga County
Fill Certification Form
This form certifies fill work for a project in Onondaga County and is completed by the person verifying the reported work and test results.
At a glance
- Issued by
- City of Onondaga County · Onondaga County, Onondaga County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- onondaga.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form records project details and fill system type, along with site preparation, fill placement, stabilization or compaction, and fill dimensions. It also provides space for percolation testing dates and results, whether fill gradation is attached, and an explanation if it is not. The signer certifies that the information is true to the best of their knowledge.
Who needs it
A person certifying fill work for a project completes the form with project details, work information, test results, and a signature.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This form is signed and dated without a notary; it includes no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Fill Certification Form PDF.
- 2
Complete Project Details
Enter the project name, town, street, tax map number, and type of system.
- 3
Record Work and Test Results
Complete the site, fill, and percolation testing sections and indicate whether fill gradation is attached.
- 4
Sign and Submit
Certify the information with your signature and date, then submit the form to the county department named on it.
Frequently asked questions
- What information does the Fill Certification Form request?
- It requests project details, fill system type, site preparation and placement information, fill dimensions, percolation test dates and results, and whether fill gradation is attached.
- Who completes the Fill Certification Form?
- The person certifying the fill work completes the project and work details, reports test results, and signs and dates the certification.
- Do I need a notary for the Fill Certification Form?
- No. This form is signed and dated without a notary, and it lists no notarized or sworn attachment.
- How do I submit the Fill Certification Form?
- Submit it to the county department named on the form. The document does not give submission contact details, so check the county website for current information.