Media, PA · Delaware County
Plumbers Registration Form
Plumbers use this form to register with Media Borough’s Department of Code Enforcement and Zoning and provide required license and insurance documents.
What this form is
This form is for plumbers registering with Media Borough’s Department of Code Enforcement and Zoning. It requests the plumber’s name, address, telephone number, and email, and asks applicants to attach a copy of the master plumber’s license and certificate of insurance. The form lists a $100 annual fee and states that work, materials, and construction methods must comply with the borough’s current plumbing code.
Who needs it
Plumbers registering with Media Borough should complete this form and attach a copy of their master plumber’s license and certificate of insurance.
How to submit it
Submit it to the Department of Code Enforcement and Zoning at 301 N Jackson Street, 2nd Floor, Media, PA 19063; the form lists a $100 annual fee.
About notarization
This document is completed without a notary; it lists no sworn attachment, and the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Plumbers Registration Form PDF.
- 2
Complete The Form
Provide the plumber’s name, address, telephone number, and email.
- 3
Gather Attachments
Attach a copy of the master plumber’s license and certificate of insurance.
- 4
Submit To The Borough
Submit the form to the Department of Code Enforcement and Zoning at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Plumbers Registration Form?
- No. This form does not require notarization and lists no sworn attachment; the signer just signs and dates it.
- How do I submit the Plumbers Registration Form?
- Submit it to the Department of Code Enforcement and Zoning at 301 N Jackson Street, 2nd Floor, Media, PA 19063. The form lists a $100 annual fee.
- What documents must I attach?
- Attach a copy of the master plumber’s license and a certificate of insurance.
- What information does the form request?
- It requests the plumber’s name, address, telephone number, and email.
Need something notarized?
This Plumbers Registration Form doesn’t need a notary — but if you have another Media form that does, a commissioned online notary can help.