Greencastle, PA · Franklin County

Workers’ Compensation Affidavit

This affidavit states whether an applicant will hire workers for a project requiring a Greencastle zoning permit and is filed with the permit application.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Greencastle’s Workers’ Compensation Affidavit records an applicant’s sworn statement that they will not hire anyone for the project for which they are seeking a zoning permit. If the applicant hires workers after receiving the permit, the form says they must notify the Borough Office and provide proof of workers’ compensation coverage within three working days. It also warns that failure to comply may result in a stop-work order.

Who needs it

A person seeking a Greencastle zoning permit for a project must complete this affidavit about whether they will hire anyone to work on it.

Why it needs a notary

The form has a subscribed-and-sworn jurat; the applicant signs the affidavit before the notary, who completes the date, signature, commission-expiration, and seal fields.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Workers’ Compensation Affidavit from the Greencastle Borough website.

  2. 2

    Fill In the Applicant Information

    Enter your information and review the statement about hiring workers for the project.

  3. 3

    Book an Online Notary

    Schedule a remote video appointment with a commissioned online notary.

  4. 4

    Sign on Video

    Sign the affidavit in front of the notary, who completes the jurat.

  5. 5

    Submit to the Borough

    Submit the notarized affidavit with your Greencastle zoning permit materials.

Preview the form

The blank PDF straight from Greencastle. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I get the Workers’ Compensation Affidavit notarized?
Complete the applicant information, then sign the affidavit during a video appointment with a commissioned online notary. Submit the notarized form with your zoning permit materials.
Do I need to sign the affidavit in front of a notary?
Yes. The form includes a subscribed-and-sworn jurat, so the applicant signs before the notary, who completes the notarial section.
Can I use an online notary for this Greencastle form?
Pennsylvania authorizes remote online notarization by its notaries under 57 Pa.C.S. §306.1. Confirm with the city, borough or township if unsure whether it will accept the notarized form.
What does the affidavit require if I hire workers after getting the permit?
The form says to notify the Borough Office and provide proof of workers’ compensation coverage within three working days after hiring anyone.

Workers’ Compensation Affidavit in other Pennsylvania cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Workers’ Compensation Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.