Walden, NY · Orange County
Request for Sewer Relief
Walden property owners use this form to request sewer relief and provide property, pool, and supporting-document details to the Village.
What this form is
The Village of Walden Request for Sewer Relief lets a property owner submit a request related to a pool. It asks for the property address, pool dimensions, and the reason for the request, with checkboxes for pool installation or liner replacement. It also lists supporting items such as before and after photos, water or sewer invoices, and proof of pool dimensions.
Who needs it
A Walden property owner seeking sewer relief related to a pool can use this form to provide the requested details and supporting documents.
How to submit it
Fax the completed form to 845-778-2170, mail or hand deliver it to 1 Municipal Square, Walden, NY 12586, or email it to [email protected].
About notarization
This document is signed without a notary; it asks the requester to print and sign, and identifies no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Request for Sewer Relief PDF.
- 2
Complete The Form
Enter the property address and pool dimensions, check the applicable reason, and print and sign the form.
- 3
Gather Supporting Documents
Include applicable photos, invoices, or other proof listed on the form.
- 4
Submit To The Village
Fax, mail, hand deliver, or email the completed form using the contact details printed on it.
Frequently asked questions
- Do I need a notary for the Request for Sewer Relief?
- No. The form asks you to print and sign it, and identifies no notarized or sworn attachment.
- How do I submit the Request for Sewer Relief?
- Fax it to 845-778-2170, mail or hand deliver it to 1 Municipal Square, Walden, NY 12586, or email it to [email protected].
- What information does the form ask for?
- It asks for the property address, pool dimensions, and the reason for the sewer relief request.
- What supporting documents are listed?
- The form lists before and after photos, a water or sewer invoice covering the usage period, and an invoice or other proof showing pool dimensions.
Need something notarized?
This Request for Sewer Relief doesn’t need a notary — but if you have another Walden form that does, a commissioned online notary can help.