Urbanna, VA · Middlesex County

No notary required

Annual Golf Cart Safety Inspection & Insurance Certification

Golf cart owners use this annual form to document a safety inspection, certify insurance coverage, and register carts operated within Urbanna town limits.

What this form is

The Town of Urbanna requires golf carts operated within its corporate limits to be registered, inspected, and covered by insurance. Owners use this form to provide their contact and cart information, record inspection results, and certify insurance; proof of insurance must be attached. The document lists a $25 permit fee due by April 30, 2026, and provides fields for office use.

Who needs it

Owners of golf carts operated within Urbanna town limits need this form to document inspection, insurance, and annual registration.

How to submit it

Present the registration fee at the Town of Urbanna Office; the document lists a $25 permit fee. Attach proof of insurance to the form.

About notarization

This document is signed without a notary; attach proof of insurance, and the signer signs and dates the certification.

How to submit this form

  1. 1

    Download The Form

    Download the Annual Golf Cart Safety Inspection & Insurance Certification.

  2. 2

    Complete The Form

    Enter the owner and cart information, and have the inspection details recorded.

  3. 3

    Gather Attachments

    Attach proof of insurance to the document.

  4. 4

    Submit To The Town

    Present the registration fee at the Town of Urbanna Office.

Frequently asked questions

Do I need a notary for the golf cart certification?
No. This document has no notary block; attach proof of insurance, and the signer signs and dates the certification.
How do I submit the golf cart certification?
Present the registration fee at the Town of Urbanna Office and attach proof of insurance to the form.
What must I attach to the form?
Attach proof of insurance. The form also asks for inspection information, including the inspector’s signature, station license number and/or name, and inspection date.
What is the listed 2026 golf cart permit fee?
The form lists a $25 permit fee due by April 30, 2026.

Need something notarized?

This Annual Golf Cart Safety Inspection & Insurance Certification doesn’t need a notary — but if you have another Urbanna form that does, a commissioned online notary can help.