Crooksville, OH · Perry County

No notary required

Trash Collection Permit Application

Trash haulers use this application to request a permit to collect trash and refuse within the Village of Crooksville.

What this form is

This application requests a permit to collect trash and refuse within Crooksville. The village requires it to be filed with the Fiscal Officer by January 1 each year, with a $200 permit fee. It asks for company and representative details, equipment information, insurance carrier and liability coverage, and the total number of customers served in the village; proof of insurance must also be submitted.

Who needs it

Companies seeking permission to collect trash and refuse within Crooksville need to submit this application and its required supporting information.

How to submit it

Mail the completed application, proof of insurance, customer total, and $200 permit fee to Village of Crooksville, Attn: Fiscal Officer, 98 S. Buckeye St., Crooksville, OH 43731, no later than January 1 each year.

About notarization

This application is completed without a notary; it lists no sworn or notarized attachment, so no notarial step is stated.

How to submit this form

  1. 1

    Download The Application

    Download the Trash Collection Permit Application and checklist.

  2. 2

    Complete The Application

    Provide company, address, contact, representative, equipment, insurance carrier, and liability coverage information.

  3. 3

    Gather Required Items

    Include proof of insurance, the total number of customers served within the village, and the $200 fee.

  4. 4

    Mail It To The Village

    Mail the completed materials to the Fiscal Officer at 98 S. Buckeye St., Crooksville, OH 43731, by January 1.

Frequently asked questions

Do I need a notary for the Trash Collection Permit Application?
No. The application does not require a notary and lists no sworn or notarized attachment; it states no notarial step.
How do I submit the Trash Collection Permit Application?
Mail the completed application, proof of insurance, customer total, and $200 fee to the Village Fiscal Officer at 98 S. Buckeye St., Crooksville, OH 43731.
What must I include with the application?
Include proof of insurance, the total number of customers served within the village, and the $200 permit fee, payable by cash or check to the Village of Crooksville.
When must the application be filed?
The application must be filed with the Fiscal Officer no later than January 1 of each year.

Need something notarized?

This Trash Collection Permit Application doesn’t need a notary — but if you have another Crooksville form that does, a commissioned online notary can help.