Clayton, OH · Montgomery County
Application for Certificate of Registration
Utility providers use this application to request a Clayton Certificate of Registration before working or operating facilities in city rights-of-way.
What this form is
The application is for utility providers that operate systems within Clayton, and the instructions say registration is required before they construct, work, or operate facilities in city rights-of-way. Applicants provide entity and contact details, designate a representative reachable at all times, and include required attachments such as insurance or a self-insurance request, regulatory approvals, a tax release, and a construction plan.
Who needs it
Utility providers operating systems within Clayton must apply, except for the utilities and service resellers listed as exceptions in the instructions.
How to submit it
Submit in person at the Clayton Government Center, 6996 Taywood Road, Englewood, OH 45322, or email the application and attachments to [email protected]. Mail or hand-deliver the $1,000 application fee to the City Building at that address; electronic payment is not accepted.
About notarization
This application is completed without a notary; no attachment or related step is identified as notarized or sworn, so the applicant simply signs and dates it.
How to submit this form
- 1
Download the Application
Download the Certificate of Registration application and its instructions.
- 2
Complete the Application
Enter the applicant’s legal and contact information, entity type, and designated system representative details.
- 3
Gather Required Attachments
Include the listed insurance or self-insurance materials, supporting documents, tax release, construction plan, and $1,000 application fee.
- 4
Submit to Clayton
Submit in person at the Clayton Government Center or email the application and attachments; mail or hand-deliver the fee.
Frequently asked questions
- Who must apply for a Clayton Certificate of Registration?
- Utility providers operating systems within Clayton must obtain a Certificate of Registration, subject to the exceptions listed in the application instructions.
- How do I submit the Certificate of Registration application?
- Submit the application and required attachments in person at the Clayton Government Center or email them to [email protected]. Mail or hand-deliver the $1,000 fee; electronic payment is not accepted.
- What attachments are required with the application?
- The listed attachments include the application fee, insurance certificates or a self-insurance request, workers’ compensation documentation, applicable incorporation and regulatory documents, a tax release, and a construction and major maintenance plan.
- Do I need a notary for the Certificate of Registration application?
- No. The application does not require a notary, and its instructions identify no notarized or sworn attachment or related step.
Need something notarized?
This Application for Certificate of Registration doesn’t need a notary — but if you have another Clayton form that does, a commissioned online notary can help.