Bronxville, NY · Westchester County

No notary required

Application for DPW Deposit Reimbursement

Bronxville applicants use this form to request reimbursement of any remaining DPW deposit balance after work is completed and final charges are paid.

What this form is

This application is for people applying to the Village of Bronxville for work that may affect public property. It records the work location, applicant contact details, and agreement to cover restoration costs. Applicants provide a deposit with the attached work application; after the work is complete and final charges are paid, any remaining balance may be returned.

Who needs it

Applicants submitting a work application to the Village of Bronxville that requires a deposit for possible public-property restoration need this form.

How to submit it

Submit this form with the attached work application to Bronxville Public Works, 200 Pondfield Road, Bronxville, NY 10708. The deposit is payable to the Village of Bronxville.

About notarization

This document is signed and dated without a notary; it does not mention any notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Application

    Download the DPW deposit reimbursement application PDF.

  2. 2

    Complete The Form

    Provide the work location and applicant contact details, then sign and date the form.

  3. 3

    Gather The Work Application

    Include the attached application describing the work for which you are applying.

  4. 4

    Submit To Public Works

    Submit the form and attached work application to Bronxville Public Works at 200 Pondfield Road.

Frequently asked questions

Do I need a notary for the DPW deposit reimbursement application?
No. This document is signed and dated without a notary, and it does not mention any notarized or sworn attachment or related step.
How do I submit the DPW deposit reimbursement application?
Submit it with the attached work application to Bronxville Public Works at 200 Pondfield Road, Bronxville, NY 10708.
What deposit does the application describe?
It describes a minimum deposit of $1,000, with the maximum initial amount set by the Village Administrator depending on the proposed work.
When can the remaining deposit balance be returned?
The form says any remaining balance may be returned after the work is complete and the Village determines that all final charges against the deposit have been paid.

Need something notarized?

This Application for DPW Deposit Reimbursement doesn’t need a notary — but if you have another Bronxville form that does, a commissioned online notary can help.