Cheviot, OH · Hamilton County

No notary required

America 250 Brick Application

Cheviot residents and others can use this application to order a commemorative brick for the city’s America 250 project.

What this form is

This application lets people order a brick for Cheviot’s America 250 project, which will be placed on the grounds of the city. It asks for purchaser and contact details, the brick inscription, and payment information. Use it to request a brick and provide the message to be engraved.

Who needs it

Anyone who wants to purchase a commemorative brick for Cheviot’s America 250 project should complete this application.

How to submit it

The form gives payment instructions, including payment by check or money order payable to the City of Cheviot. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the America 250 Brick Application PDF.

  2. 2

    Complete The Application

    Enter the purchaser and contact details and provide the requested brick inscription.

  3. 3

    Prepare Payment

    Follow the form’s payment instructions; it lists checks or money orders payable to the City of Cheviot.

  4. 4

    Submit The Application

    Send the completed application according to the submission instructions on the form.

Frequently asked questions

What is the America 250 Brick Application for?
It is used to request a commemorative brick for Cheviot’s America 250 project and provide the purchaser’s details and proposed brick inscription.
Who can apply for a commemorative brick?
The application is for anyone who wants to purchase a brick for the project. Complete the purchaser and contact information and provide the desired inscription.
Do I need a notary for the America 250 Brick Application?
No. This application is signed without a notary; the signer just signs and dates it.
How do I submit the America 250 Brick Application?
Follow the form’s payment instructions, which include payment by check or money order payable to the City of Cheviot. Submit the application using the instructions on the form.

Need something notarized?

This America 250 Brick Application doesn’t need a notary — but if you have another Cheviot form that does, a commissioned online notary can help.