DuBois, PA · Clearfield County
Certificate of Compliance
Property applicants use this certificate to authorize city representatives to enter for inspections required under the Sewer Ordinance.
What this form is
This certificate concerns inspections under the Sewer Ordinance and gives city representatives permission to enter the property for necessary inspections. It asks for the inspection property address, applicant and representative details, phone number, application date, and a $150 non-refundable fee paid by check. The form also has spaces for inspection results, approval, denial, retest, and certificate approval.
Who needs it
A property applicant seeking the Sewer Ordinance inspection described on the form should complete it and authorize city representatives to enter.
How to submit it
The form lists a non-refundable $150 fee paid by check but gives no submission destination; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download the Certificate
Download the Certificate of Compliance PDF.
- 2
Complete the Applicant Details
Enter the inspection property address, applicant and representative details, phone number, and application date.
- 3
Prepare the Check
The form lists a non-refundable fee of $150, paid by check.
- 4
Submit to the City
The form does not give a submission destination; check the city website for current contact details.
Frequently asked questions
- What does the DuBois Certificate of Compliance do?
- It authorizes city representatives to enter the property for inspections required under the Sewer Ordinance and provides spaces to record inspection and approval results.
- Who completes the Certificate of Compliance?
- The property applicant provides the inspection address and applicant details, signs the entry authorization, and pays the listed non-refundable fee by check.
- Do I need a notary for the Certificate of Compliance?
- No. This document is signed without a notary; the signer just signs and dates it.
- How do I submit the Certificate of Compliance?
- The form lists a $150 non-refundable fee paid by check but does not name a submission destination. Check the city website for current contact details.