Orange County, NY · Orange County

No notary required

General Permit Application

Businesses and operators use this application to request an Orange County permit for covered facilities such as hotels, campgrounds, beaches, and children’s camps.

At a glance

Issued by
City of Orange County · Orange County, Orange County, New York
Notarization
Not required: file this form without a notary.
Official source
orangecountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The Orange County Department of Health application requests a permit for covered facilities, including temporary residences, fairgrounds, mobile home parks, campgrounds, beaches, spraygrounds, migrant farmworker housing, and children’s camps. Applicants provide facility, operator, contact, and operating information, select the applicable business and facility types, and submit required workers’ compensation and disability insurance documentation. Commercial applicants must include payment; the application also describes fees and optional expedited processing.

Who needs it

Operators of the listed facilities in Orange County should complete the application, including businesses, nonprofits, and individuals seeking a permit.

How to submit it

Submit the application to the Orange County Department of Health, Division of Environmental Health, at 124 Main Street, 3rd Floor, Goshen, NY 10924. Include payment and required insurance documentation; commercial applications are not accepted by email.

About notarization

This application is signed and dated without a notary; the signer certifies the answers and submits insurance or exemption documentation, with no notarized attachment specified.

How to submit this form

  1. 1

    Download the Application

    Download the General Permit Application and review its facility types and fee information.

  2. 2

    Complete the Application

    Provide the establishment, facility, operating entity, contact, and operating information requested.

  3. 3

    Gather Required Documents

    Include workers’ compensation and disability insurance documentation or the specified exemption form, as applicable.

  4. 4

    Submit to the County

    Send the application, required documentation, and payment to the Orange County Department of Health at the address shown on the form.

Frequently asked questions

What is the Orange County General Permit Application for?
Facility operators use it to request permits for covered operations, including temporary residences, campgrounds, beaches, spraygrounds, and children’s camps.
Who needs to complete this application?
Operators of facilities listed on the application should provide facility, business, contact, and operating details and submit required insurance or exemption documentation.
Do I need a notary for the General Permit Application?
No. The application is signed and dated without a notary. The signer certifies the answers and submits required insurance or exemption documentation.
How do I submit the General Permit Application?
Submit it to the Orange County Department of Health, Division of Environmental Health, at the address on the form with payment and required insurance documentation. Commercial applications are not accepted by email.

Need something notarized?

This General Permit Application doesn’t need a notary, but if you have another Orange County form that does, a commissioned online notary can help.