Haverstraw, NY · Rockland County
Application for Haulers Permit
Haulers use this application to request or renew permission to collect and transport garbage within the Village of Haverstraw.
What this form is
This application requests a Village of Haverstraw permit to collect and transport garbage within the village. Haulers provide business and contact details, pickup days, complaint contacts, locations, and vehicle information. The form identifies this as a new permit or renewal and lists required insurance certificates and an annual Rockland County Department of Health inspection certificate. The Village Clerk records approval or denial and payment.
Who needs it
A business or individual collecting and transporting garbage in the Village of Haverstraw needs to apply for a written permit.
How to submit it
Submit the completed application and required documents to the Village Clerk at 40 New Main Street, Haverstraw, New York 10927. The form lists fees of $100 per carter and $50 per truck.
About notarization
This application is signed and dated without a notary; the listed insurance and inspection certificates are required attachments, with no notarized step stated.
How to submit this form
- 1
Download The Application
Download the Haulers Permit Application PDF.
- 2
Complete The Application
Provide the business and contact details, pickup days, complaint contact, and whether the request is for a new permit or renewal.
- 3
Gather Required Documents
Include lists of locations and vehicles, certificates of insurance, and the annual Rockland County Department of Health inspection certificate.
- 4
Submit To The Village Clerk
Submit the application and required documents to the Village Clerk at 40 New Main Street, Haverstraw, New York 10927.
Frequently asked questions
- Do I need a notary for the Haulers Permit Application?
- No. The application is signed and dated without a notary. It lists insurance certificates and an annual Rockland County Department of Health inspection certificate as required attachments.
- How do I submit the Haulers Permit Application?
- Submit the completed application and required documents to the Village Clerk at 40 New Main Street, Haverstraw, New York 10927. The form lists fees of $100 per carter and $50 per truck.
- What information does the application request?
- It asks for business and contact information, pickup days, a complaint contact, pickup locations, and vehicle information. The form has space to mark a new permit or renewal.
- What documents are required for approval?
- The form lists a list of locations, a list of vehicles, certificates of insurance, and an annual Rockland County Department of Health inspection certificate.