Port Jefferson, NY · Suffolk County

No notary required

Event Application

The Event Application is for organizations or individuals planning an event in Port Jefferson and requesting Village services or approval.

What this form is

The Village uses this application to assess an event’s impact and plan for public safety and services. Applicants must submit it at least four weeks before the event with the $50 application fee; the form also lists public safety and other possible fees. It asks for event, organization, attendance, service, and safety details, and requires a signed hold harmless agreement and insurance documentation.

Who needs it

Organizations, businesses, and other sponsors planning an event in Port Jefferson should submit this application to the Village.

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 document is signed without a notary; the applicant signs and dates the hold harmless agreement, with a witness signature also requested.

How to submit this form

  1. 1

    Download The Application

    Download the Port Jefferson Event Application PDF.

  2. 2

    Complete The Application

    Enter the event dates and times, organization and contact details, attendance estimate, requested services, and event safety information.

  3. 3

    Gather Required Submissions

    Include the $50 application fee, completed hold harmless form, required insurance documents, and any additional requested information or forms.

  4. 4

    Submit To The Village

    Submit the completed application at least four weeks before the event. Check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Port Jefferson Event Application?
No. The application and hold harmless agreement do not require notarization; the agreement asks for the applicant’s signature and a witness signature.
How do I submit the Port Jefferson Event Application?
Submit it to the city department named on the form; check the city website for current contact details. The form says to include the $50 application fee and required submissions.
When should I submit the Event Application?
The form says the application must be submitted at least four weeks before the event. It will not be considered until it is completed and submitted with the $50 application fee.
What attachments are required with the application?
The form lists a completed hold harmless form and required insurance, including a certificate naming the Village as certificate holder and additional insured. Other information or forms may also be requested.

Need something notarized?

This Event Application doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.