Richmond, VA · City of Richmond

No notary required

Application for Permit Cancellation or Refund

Permit holders use this application to request cancellation of a permit and, when applicable, a refund from Richmond's Bureau of Permits and Inspections.

What this form is

This application lets a permit holder ask the Bureau of Permits and Inspections to cancel a permit and explain the reason. If requesting a refund, the applicant also provides the refund recipient's name and mailing address; the form notes that refunds can only be issued to the payee and asks whether work was completed without an inspection.

Who needs it

A permit holder seeking to cancel a permit or request a refund for a canceled or discontinued project should complete this application.

How to submit it

Complete the form and email it to [email protected].

About notarization

This document is completed without a notary; it has no notary block, and the form asks for the requester's date.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Permit Cancellation or Refund.

  2. 2

    Complete The Form

    Enter the permit number, project address, contact details, date, portal account email, and cancellation reason.

  3. 3

    Add Refund Details

    If requesting a refund, provide the name and mailing address of the person the refund should be issued to.

  4. 4

    Email The Application

    Email the completed form to [email protected].

Frequently asked questions

What does the Permit Cancellation or Refund Application request?
Permit holders can use it to request cancellation and explain the reason. They can also provide refund information if requesting a refund.
Who may request a refund?
The form refers to a written request by a permit holder and states that refunds can only be issued to the payee.
Do I need a notary for the Permit Cancellation or Refund Application?
No. This document has no notary block and asks for the requester's date. Other documents you may have could have different requirements.
How do I submit the Permit Cancellation or Refund Application?
Complete the form and email it to [email protected].

Need something notarized?

This Application for Permit Cancellation or Refund doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.