Versailles, OH · Darke County

No notary required

Application & Agreement for Use of Traffic Control Devices

Versailles residents or other requesters use this agreement to request safety cones or barricades and accept responsibility for their return and condition.

What this form is

This application and agreement lets a requester ask the Village of Versailles to use safety cones, barricades, or both. The signer agrees to pick up and return the devices and pay replacement costs for damaged or missing items. The form asks for the requested quantities, pickup date, contact information, and signature; a Village employee signs when the items are returned and notes their condition.

Who needs it

Anyone requesting safety cones or barricades from the Village of Versailles should complete and sign this application and agreement.

How to submit it

The form lists the Village at 177 North Center Street, P.O. Box 288, Versailles, OH 45380-0288. Pick up and return devices Monday through Friday during the listed hours, excluding observed holidays.

About notarization

This document is signed without a notary; the requester signs and dates it, and a Village employee signs when the devices are returned.

How to submit this form

  1. 1

    Download The Agreement

    Download the Application & Agreement for Use of Traffic Control Devices.

  2. 2

    Complete The Request

    Enter the number of safety cones or barricades requested, the pickup date, your contact information, and the required signature and date.

  3. 3

    Review Your Responsibilities

    Confirm that you will pick up and return the devices and pay replacement costs for damaged or missing items.

  4. 4

    Arrange Pickup And Return

    Use the Village address on the form. Pick up and return devices during the listed weekday hours, excluding observed holidays.

Frequently asked questions

Do I need a notary for the traffic control device agreement?
No. The requester signs and dates the agreement without a notary; a Village employee signs when the devices are returned.
How do I submit the traffic control device agreement?
The form lists the Village at 177 North Center Street, P.O. Box 288, Versailles, OH 45380-0288. It does not give separate submission instructions.
What does the traffic control device agreement ask me to do?
It asks you to specify the number of safety cones or barricades, provide a pickup date and contact information, and agree to pick up and return the devices.
When can I pick up or return the devices?
The form says pickup and return are Monday through Friday, 7:30–11:30 a.m. and 12:00–3:30 p.m., excluding observed holidays.

Need something notarized?

This Application & Agreement for Use of Traffic Control Devices doesn’t need a notary — but if you have another Versailles form that does, a commissioned online notary can help.