Walworth, NY · Wayne County
Application For Public Assembly Permit
This application asks people or organizations seeking a public assembly permit in the Town of Walworth to provide event, property, safety, facility, and supporting-document details to the Town Board.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this application to request a Town of Walworth public assembly permit for an annual, seasonal, or single event. It asks for information about the applicant, property, dates, attendance, facilities, safety plans, and supporting permits and exhibits; applicants must also attach an insurance certificate. If the applicant is not the property owner, the form calls for an owner affidavit, and some applicants must provide a verified statement from a local agent agreeing to accept notices or summons.
Who needs it
A person or organization planning an annual, seasonal, or one-time public assembly or use in Walworth should complete the application and provide the requested attachments to the Town Board.
Why it needs a notary
The form includes a verification jurat: the applicant signs the verification and swears to its truth before a notary public, who completes the sworn-to-before-me section.
How to get this notarized
- 1
Download The Application
Download the Town of Walworth public assembly permit application.
- 2
Complete The Form
Fill in the applicant, event, property, facility, and safety details, and gather the requested exhibits and attachments.
- 3
Book An Online Notary
Arrange a remote session with a commissioned online notary to notarize the verification.
- 4
Sign On Video
Sign and swear to the verification during the notary’s video session.
- 5
Submit To The Town
Submit the completed application and required attachments to the Town of Walworth.
Preview the form
The blank PDF straight from Walworth. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the application verification notarized online?
- Complete the application, then book a session with a commissioned online notary. Sign the verification during the video session and follow the notary’s instructions.
- Do I need to sign the verification in front of a notary?
- Yes. The application includes a verification stating that the applicant swears the information is true to their knowledge, with a jurat for the notary.
- What documents and exhibits does the application request?
- The form requests supporting materials such as property, sanitation, parking, food-service, safety, and access information, as well as necessary permits and an insurance certificate.
- Can I use an online notary for this form?
- New York authorizes remote online notarization under Executive Law §135-c. A commissioned online notary can notarize the applicant’s verification by video; confirm with the city, town or village if unsure.
Application For Public Assembly Permit in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.