Suffolk County, NY · Suffolk County
Utility Highway Work Permit Application
Utility companies and contractors use this application to request a Suffolk County permit for proposed utility work within the County right-of-way.
At a glance
- Issued by
- City of Suffolk County · Suffolk County, Suffolk County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- suffolkcountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application requests a Utility Highway Work Permit for utility work in the Suffolk County right-of-way, including connections, facility upgrades, maintenance, and emergency repairs. It asks for applicant and utility company details, project location and work information, and the Suffolk County Access Permit number for residential or commercial connections. Submit plans or sketches, applicable work-zone traffic controls, and required insurance documents as described in the package.
Who needs it
Utility companies and contractors proposing utility work in the Suffolk County right-of-way need this application and required supporting documents.
How to submit it
Return the form to Suffolk County DPW, Traffic and Permits, 335 Yaphank Ave, Yaphank, NY 11980, or email [email protected].
About notarization
This document is signed without a notary; the applicant signs and dates the application, and no notarized or sworn attachment is identified.
How to submit this form
- 1
Download the Application
Download the Utility Highway Work Permit Package PDF.
- 2
Complete the Application
Provide applicant and utility company details, project location, work information, and the applicable Access Permit number.
- 3
Gather Supporting Documents
Attach applicable plans or sketches, work-zone traffic controls, and required insurance documents.
- 4
Submit to the County
Return the form to Suffolk County DPW, Traffic and Permits, by mail or email using the contact details on the application.
Frequently asked questions
- Do I need a notary for the Utility Highway Work Permit Application?
- No. The applicant signs and dates the application; the package does not identify a notarized or sworn attachment.
- How do I submit the Utility Highway Work Permit Application?
- Return it to Suffolk County DPW, Traffic and Permits, at 335 Yaphank Ave, Yaphank, NY 11980, or email [email protected].
- What supporting documents does the utility permit package request?
- Depending on the work, include plans or sketches, work-zone traffic controls, and insurance documents. The requirements also describe restoration details and test-pit locations where applicable.
- Do utility connections need an Access Permit number?
- For residential or commercial utility connections, the application asks for a Suffolk County Access Permit number. The requirements say the property owner must obtain and execute the Access Permit before a utility connection permit can be issued.