How do I submit the Dye Test Application / Payment Form?

Send the completed form to the Borough Office by U.S. mail, fax, or email. The form must be turned in regardless of how you pay.

What is the dye test fee?

The form lists a dye test fee of $425. It says payment may be made by check, cash at the Borough Building during regular business hours, or credit card online.

Who schedules the dye test?

The homeowner or agent is responsible for having the plumber contact Chuck Smith to schedule the dye test. The plumber must be from the borough’s registration list.

Fox Chapel, PA · Allegheny County

No notary required

Dye Test Application / Payment Form

Fox Chapel homeowners or agents use this form to provide contact and plumber details and arrange payment for a dye test.

What this form is

This form provides Fox Chapel with homeowner or agent contact details and information about the plumber performing a dye test. It lists a $425 fee and payment options, and says the form must be completed and sent to the Borough Office regardless of payment method; the plumber must be on the borough’s registration list and contact the named person to schedule the test.

Who needs it

Fox Chapel homeowners or agents arranging a dye test need to complete the form and have the plumber contact the person named to schedule it.

How to submit it

Pay by check to the Borough of Fox Chapel, cash at the Borough Building during regular business hours, or online by credit card. Send the completed form to the Borough Office by U.S. mail, fax, or email.

About notarization

No notary is required; the form lists no notarized or sworn attachment or related step.

How to submit this form

1
Download The Form
Download the Dye Test Application / Payment Form PDF.
2
Complete The Form
Provide the requested name, address, phone, email, and plumber information.
3
Arrange Payment
Choose a listed payment method: check, cash at the Borough Building during regular business hours, or online credit card.
4
Submit To The Borough
Send the completed form to the Borough Office by U.S. mail, fax, or email, regardless of payment method.

Frequently asked questions

Do I need a notary for the Dye Test Application / Payment Form?: No. The form lists no notarized or sworn attachment or related step.
How do I submit the Dye Test Application / Payment Form?: Send the completed form to the Borough Office by U.S. mail, fax, or email. The form must be turned in regardless of how you pay.
What is the dye test fee?: The form lists a dye test fee of $425. It says payment may be made by check, cash at the Borough Building during regular business hours, or credit card online.
Who schedules the dye test?: The homeowner or agent is responsible for having the plumber contact Chuck Smith to schedule the dye test. The plumber must be from the borough’s registration list.

Need something notarized?

This Dye Test Application / Payment Form doesn’t need a notary — but if you have another Fox Chapel form that does, a commissioned online notary can help.