Burlington, NY · Otsego County

No notary required

Town Voucher

This voucher lets a claimant submit an account for materials or services provided to the Town of Burlington and certify the amount claimed is correct.

What this form is

Use this voucher to present a claim for payment for materials or services provided to the Town of Burlington. The claimant enters their name and address, invoice details, descriptions, quantities, prices, amounts, and total, then signs and dates the certification. Detailed invoices may be attached. The form also includes sections for department approval and approval for payment.

Who needs it

A claimant seeking payment from the Town of Burlington for materials or services provided to the municipality should complete this voucher.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This voucher is signed and dated without a notary; the claimant certifies the account, and the form provides separate sections for municipal approvals.

How to submit this form

  1. 1

    Download The Voucher

    Download the Town Voucher PDF.

  2. 2

    Complete The Claim

    Enter claimant details, invoice information, materials or services, quantities, prices, and the total.

  3. 3

    Attach Detailed Invoices

    Attach detailed invoices if needed, as the voucher allows.

  4. 4

    Sign And Submit

    Sign and date the claimant certification, then submit the voucher to the city department named on the form.

Frequently asked questions

What is the Town Voucher used for?
It records a claimant's account for materials or services provided to the municipality and includes a certification of the amount claimed.
Who completes the voucher?
The claimant fills in the account details and signs and dates the certification. The form also has spaces for municipal department and payment approvals.
Do I need a notary for the Town Voucher?
No. The claimant signs and dates the certification without a notary; the form includes separate sections for municipal approvals.
How do I submit the Town Voucher?
The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Town Voucher doesn’t need a notary — but if you have another Burlington form that does, a commissioned online notary can help.