What must I include with the application?

Submit the completed, signed application with the required liability, workers’ compensation, and disability benefits insurance certificates. The instructions describe possible exemption certificates for some applicants.

Do I need a notary for the solid waste account application?

No. The application, certification, and agreement require signatures, but no notarized attachment is specified.

Orange County, NY · Orange County

No notary required

Application for Account to Dispose of Solid Waste

Orange County businesses and solid waste haulers use this application to request an account and permission to dispose of waste at county facilities.

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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application requests an account for disposing of solid waste at Orange County disposal facilities. New applicants must provide company, representative, contact, vehicle, and estimated waste information, sign all three pages, and submit the required insurance certificates. The county reviews each application to determine the appropriate permit type; the form also includes a certification and agreement.

Who needs it

New accounts are for Orange County municipalities, schools, solid waste haulers, and businesses bringing in waste generated within the county.

How to submit it

Mail the completed application and insurance certificates to OCDPW Div. EF&S, PO Box 637, Goshen, NY 10924, Attention: Devin Rosenthal.

About notarization

This document does not require a notary; the applicant signs and dates the application, certification, and agreement, with no notarized attachment specified.

How to submit this form

1
Download the Application
Download the application and instructions for an Orange County solid waste disposal account.
2
Complete the Application
Enter company, representative, contact, vehicle, and estimated weekly waste information, then sign all three pages.
3
Gather Required Certificates
Include the required liability, workers’ compensation, and disability benefits insurance certificates, or applicable exemption certificates.
4
Mail to the County
Mail the application and certificates to OCDPW Div. EF&S, PO Box 637, Goshen, NY 10924, Attention: Devin Rosenthal.

Frequently asked questions

Who uses the solid waste account application?: New accounts are for Orange County municipalities, schools, solid waste haulers, and businesses disposing of waste generated within the county.
What must I include with the application?: Submit the completed, signed application with the required liability, workers’ compensation, and disability benefits insurance certificates. The instructions describe possible exemption certificates for some applicants.
Do I need a notary for the solid waste account application?: No. The application, certification, and agreement require signatures, but no notarized attachment is specified.
How do I submit the solid waste account application?: Mail the completed application and insurance certificates to OCDPW Div. EF&S, PO Box 637, Goshen, NY 10924, Attention: Devin Rosenthal.

Need something notarized?

This Application for Account to Dispose of Solid Waste doesn’t need a notary, but if you have another Orange County form that does, a commissioned online notary can help.