Old Field, NY · Suffolk County

No notary required

Use of Facilities Form

Groups or individuals use this application to request municipal facilities in the Inc. Village of Old Field for an event.

What this form is

Use this application to request a date and time to use an Old Field municipal facility. Applicants provide event and organization or individual details, group size, food and alcohol plans, and vendor information. The form says to review the facility-use policy and insurance requirements, and that the completed application, insurance certificate, and fee must be returned to the Municipality before facility use.

Who needs it

An organization or individual requesting use of an Inc. Village of Old Field municipal facility should complete this application.

How to submit it

Return the completed application, a copy of the insurance certificate, and the fee to the Municipality. The form says a copy is returned when the date is confirmed and becomes the Use Permit.

About notarization

This form is signed and dated without a notary; the required insurance certificate and related insurance documents are not stated to require notarization.

How to submit this form

  1. 1

    Download The Form

    Download the Use of Facilities Form and review the facility-use policy and insurance requirements.

  2. 2

    Complete The Application

    Fill in every blank, including the requested dates and times, facility, event details, and person in charge.

  3. 3

    Gather Insurance Documents

    Obtain a copy of the insurance certificate and the other insurance documents described in the form.

  4. 4

    Return The Application

    Return the application, insurance certificate copy, and fee to the Municipality.

Frequently asked questions

Do I need a notary for the Use of Facilities Form?
No. The form calls for a signature and date but contains no notary requirement. It also does not state that the required insurance certificate or related insurance documents must be notarized.
How do I submit the Use of Facilities Form?
Return the completed application, a copy of the insurance certificate, and the fee to the Municipality. The form says a copy will be returned when your date is confirmed and will become your Use Permit.
What information does the application request?
It asks for the requested dates and times, facility, organization or individual name, event details, group size, food and alcohol plans, vendor information, and the person in charge.
What insurance documents does the form mention?
The form calls for a certificate of insurance and also mentions a copy of the General Liability Declarations Page and Additional Insured Endorsement. It says vendors must comply with the Village's insurance requirements.

Need something notarized?

This Use of Facilities Form doesn’t need a notary — but if you have another Old Field form that does, a commissioned online notary can help.