DuBois, PA · Clearfield County
Bench Application
Use this application to request a bench in DuBois and provide donor details, requested wording, and a preferred location.
What this form is
The Bench Application lets a donor request a bench at the top of the boulevard, along the walkway, or in the park. It asks for the donor’s contact information, requested wording, and preferred location. The city reviews the application, approves the wording and location, and forwards the wording for a proof. The procedure lists a $3,500 check payable to the City of DuBois.
Who needs it
Anyone wishing to purchase a bench for placement at a requested DuBois location needs to complete this application.
How to submit it
Contact the City Secretary at 16 W. Scribner Avenue, DuBois, PA 15801, or call 814-371-2000, extension 100. The procedure says to make a $3,500 check payable to the City of DuBois and mark “BENCH” in the memo line.
About notarization
This application is signed without a notary; the document describes no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the DuBois Bench Application.
- 2
Complete The Application
Enter donor contact information, requested wording, and a preferred bench location.
- 3
Prepare The Payment
Make a $3,500 check payable to the City of DuBois and write “BENCH” in the memo line.
- 4
Contact The City Secretary
Contact the City Secretary at the address or phone number listed in the procedure.
Frequently asked questions
- What does the DuBois Bench Application request?
- It asks for the donor’s name, address, phone, email, requested bench wording, and preferred location. The city has final approval of the wording.
- Do I need a notary for the DuBois Bench Application?
- No. This application is signed without a notary, and the procedure does not describe any notarized or sworn attachment.
- How do I submit the DuBois Bench Application?
- Contact the City Secretary at 16 W. Scribner Avenue, DuBois, PA 15801, or call 814-371-2000, extension 100. The procedure also says to make a $3,500 check payable to the city and mark “BENCH” in the memo line.