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 > City of Chesapeake, Virginia > Online Services > Forms and Applications

Forms and Applications


Citywide Forms & Applications - Sortable Listing

SINGLE CLICK column heading titles. Each time you click the sort is reversed.
(Note: The first time you sort, you may need to click two times to activate the sorting process.)

Do you need an electrical, gas, indoor mechanical, or plumbing permit?  You can get those online!  Check out ezPermits for more information. 

See Symbols & Department Abbreviations used in table.       State & Federal Forms


TITLE FORMAT INFO TYPE DEPT
Absentee Ballot Application Adobe PDF icon   Application STATE
Absentee Ballot Status Lookup Online Form   Information STATE
Admission Tax Report
icon - Adobe PDF - fill-in and print format   Business Tax
CR
Agricultural Divisions and Resubdivisions Application
Adobe PDF icon   Application PL
Ancillary Bond Agreement (generic)
Adobe PDF icon   Agreement PW
Ancillary Bond Agreement (generic) 
icon - MS WORD   Agreement PW
Ancillary Bond Agreement (75% Occupancy)
Adobe PDF icon   Agreement PW
Ancillary Bond Agreement (75% Occupancy) icon - MS WORD   Agreement PW
Animal License for Dogs & Cats Adobe PDF icon yes - red checkbox License TR
Asbestos Certification Statement icon - Adobe PDF - fill-in and print format   Certification DP
Asbestos Certification Statement icon - MS WORD   Certification DP
Backflow Prevention Device Test Report icon - Adobe PDF - fill-in and print format   Report PU
Backflow Prevention Device Test Report icon - MS WORD   Report PU
Boards & Commission Name Bank Application icon - Adobe PDF - print only format   Application CK
Boat Assessment Appeal Form icon - Adobe PDF - print only format yes - red checkbox Personal Property CR
Boat Disposition Form icon - Adobe PDF - print only format yes - red checkbox Personal Property CR
Building Permit (Pre-application) icon - Adobe PDF - fill-in and print format   Permit Application DP
Building Permit (Pre-application) icon - MS WORD   Permit Application DP
Board of Zoning Appeals (BZA) Application
icon - Adobe PDF - print only format   Application DP
CBPA (Chesapeake Bay Preservation Act) Appeal Application icon - Adobe PDF - print only format   Application PL
CBPA (Chesapeake Bay Preservation Act) Exception Application icon - Adobe PDF - print only format   Application PL
CBPA (Chesapeake Bay Preservation Act) Review Committee Application        
icon - Adobe PDF - print only format   Application PL
Certificate of Appropriateness (Combined) icon - Adobe PDF - print only format yes - red checkbox Historic PL
Chesapeake Expressway
City Discount Program Application

Note: You must open an E-ZPass account before enrolling in the Discount Program.  See below.
Information

Apply OFFLINE

Info about City Discount Program   PW
Chesapeake Expressway E-ZPass
https://www.ezpassva.com
Online Form Info about Smart Tags - VDOT website Apply Online PW
Civic League Membership Form
        Civic League Directory
icon - Adobe PDF - fill-in and print format yes - red checkbox Registration DP
Conditional Use Permit Application
       Instructions
icon - Adobe PDF - print only format yes - red checkbox Permit Application PL

Conditional Use Permit Application Checklist
(Storefronts UP-1204)

icon - Adobe PDF - print only format   Permit Application PL
Contractor's Certification of Insuring Liability for Worker's Compensation in Virginia icon - Adobe PDF - fill-in and print format   VA State Form STATE
Cost of Utility Improvements icon - Adobe PDF - print only format   Certification PU
Courts - Circuit Court Forms icon - Adobe PDF - print only format   Court Forms CC
Courts - General District Court Forms icon - Adobe PDF - print only format   Court Forms GDC
Courts - Juvenile & Domestic Relations District Court Forms icon - Adobe PDF - print only format   Court Forms JDR
Deed of Dedication icon - Adobe PDF - print only format   Deed PU
Deed of Dedication icon - MS WORD   Deed PU
Deed of Easement
       Instructions
icon - Adobe PDF - print only format   Easement PU
Deed of Easement
       Instructions
icon - MS WORD   Easement PU
Defect Agreement icon - Adobe PDF - print only format   Agreement
DRAFT
DP
Defect Bond icon - Adobe PDF - print only format   Bond PU
Defect Bond icon - MS WORD   Bond PU
Defect Bond (Cash) icon - Adobe PDF - print only format   Bond DP
Defect Bond (Letter of Credit) icon - Adobe PDF - print only format   Bond DP
Defect Bond (Surety) icon - Adobe PDF - print only format   Bond DP
Electrical Permit Application icon - Adobe PDF - print only format   Permit Application DP
Electrical Permit Application icon - MS WORD   Permit Application DP

Emergency Food Assistance Program (TEFAP)

Partial Application
& Complete Application

Online Form 
yes - red checkbox Apply Online STATE
Employment Application, City of Chesapeake Online Form yes - red checkbox Apply Online HR
Excavation Bond icon - Adobe PDF - print only format   Bond PW
Fence Application - for Secondary Front Yards of Corner Lots Thru Lots only
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Application DP
Field Change Request
     Instructions
icon - Adobe PDF - print only format   Request PU
Fire Protection Permit Application
icon - Adobe PDF - print only format   Permit DP
Fire Protection Permit Application
icon - MS WORD   Permit Application DP
Flat Rate Room Tax Report icon - Adobe PDF - fill-in and print format   Business Tax CR
Food and Beverage Tax Report icon - Adobe PDF - fill-in and print format   Business Tax
CR

Food Assistance - Food Stamps

Partial Application & Complete Application

Online Form yes - red checkbox Apply Online STATE
Hazardous Materials Systems Permit Application
icon - Adobe PDF - print only format   Permit Application DP
Hazardous Materials Systems Permit Application
icon - MS WORD   Permit Application DP
Health Department (Virginia Department of Health) Forms icon - Adobe PDF - print only format   Health Dept. Forms VDH
Health Department (Virginia Department of Health) Forms Sitemap icon - Adobe PDF - print only format   Health Dept. Forms VDH
HRSD Interceptor Engineering Project Initiation Form
(Hampton Roads Sanitation District)
icon - MS WORD yes - red checkbox Public Utilities & HRSD HRSD
Inspection Request Online Form yes - red checkbox Apply Online DP
Lake Certification icon - Adobe PDF - print only format   Certification PW
Letter of Credit icon - Adobe PDF - print only format   Letter of Credit PU
Letter of Credit (Ancillary Bond) icon - Adobe PDF - print only format   Letter of Credit DP
Letter of Credit (Defect Bond) icon - Adobe PDF - print only format   Letter of Credit DP
Letter of Credit (Performance Bond) icon - Adobe PDF - print only format   Letter of Credit DP
Land Disturbing Permit Application
icon - Adobe PDF - print only format   Permit Application DP
Land Locked Property Agreement for Water and/or Sewer Connection icon - Adobe PDF - print only format   Agreement PU
Land Locked Property Agreement for Water and/or Sewer Connection icon - MS WORD   Agreement PU
Lodging Tax Report icon - Adobe PDF - fill-in and print format   Business Tax
CR
Lot Grading Certification
icon - Adobe PDF - print only format   Certification DP
Lot Grading Certification
icon - Adobe PDF - print only format   Certification DP
Mechanical/Gas Permit Application icon - Adobe PDF - print only format   Permit Application DP
Mechanical/Gas Permit Application icon - MS WORD   Permit DP
Mosquito Control - Request for Services Online Form   Apply Online MC
Motor Vehicle Assessment Appeal Form icon - Adobe PDF - print only format yes - red checkbox Personal Property CR
Neighborhood Association Directory Form icon - Adobe PDF - fill-in and print format   Registration DP
Neighborhood Coordination Emergency Contacts Form icon - Adobe PDF - fill-in and print format   Information DP
On-Site Statement of Completion --> Statement of Completion icon - Adobe PDF - print only format   Statement PU
On-Site Statement of Completion --> Statement of Completion icon - MS WORD   Statement PU
Outdoor Sales Permit Application icon - Adobe PDF - print only format   Permit Application DP
Outdoor Special Event Application
icon - Adobe PDF - print only format   Application BoCP
Permits
* See Building Permit, Electrical Permit,
    Mechanical/Gas
Permit, & Plumbing Permit.
      DP
Permit Application
     *Franchise Utilities only
icon - Adobe PDF - print only format   Permit Application DP
Permit Bond icon - Adobe PDF - print only format   Bond DP
Pet Adoption Application icon - Adobe PDF - print only format   Application AC
Plan Review Fee icon - Adobe PDF - print only format   Fee DP
Plumbing Permit icon - Adobe PDF - print only format   Permit Application DP
Plumbing Permit icon - MS WORD   Permit DP
Pool Fence Affidavit icon - Adobe PDF - print only format   Afficavit DP
Preliminary Subdivision Plan Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Application PL
Preliminary Site Plan Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Application PL
Probate Information Form icon - Adobe PDF - fill-in and print format   Information CC
PUD Creation Mod Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Application PL
PUD Deviation Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Application PL
Refund or Prorated Assessment, Request for icon - Adobe PDF - fill-in and print format     CR
Request for Refund or Prorated Assessment icon - Adobe PDF - print only format yes - red checkbox Personal Property CR
Rental Tax Report icon - Adobe PDF - fill-in and print format   Business Tax
CR
Resident Notification icon - Adobe PDF - print only format   Notify PW
Resubdivisions, and Agricultural Divisions Application
icon - Adobe PDF - print only format   Application PL
Return of Business Personal Property and Machinery & Tools for Local Taxation icon - Adobe PDF - fill-in and print format   Business Tax
CR
Rezoning Application icon - Adobe PDF - print only format   Application PL
Right-of-Way Monument Letter
     * Print on consulant's letterhead
icon - Adobe PDF - print only format   Letter DP
Right of Way Permit Application
* Contact permits engineer in Development & Permits Dept.
      DP
Shed Permit Application icon - Adobe PDF - print only format   Permit DP
Runoff Control Permit Application icon - Adobe PDF - print only format   Permit Application PU
Sewage and Water Service Forms,
Virginia Department of Health

(for septic & private wells)
    Water & Sewage
Health Dept. Forms
VDH
Sewer Facility Operation & Maintenance Agreement icon - Adobe PDF - print only format   Agreement PU
Sewer Facility Operation & Maintenance Agreement icon - MS WORD   Agreement PU
Shed Permit Application icon - Adobe PDF - print only format   Permit DP
Site Plan Construction Statement of Completion icon - Adobe PDF - print only format   Statement PU
Smart Tag and City Discount Program Application
Chesapeake Expressway
    Online Application PW
Special Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Application PL
Special Inspection, Hampton Roads Area Statement of
     Instructions
icon - Adobe PDF - print only format   Statement DP
Statement of Responsibility- Project Fees icon - Adobe PDF - print only format   Fees PU
Statement of Responsibility for Subdivision Inspection Fees icon - Adobe PDF - print only format   Fees DP
Street Closure Petition
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Petition PL
Street Light Installation Cost Agreement     
 * Print on your letterhead with addre
ss
icon - Adobe PDF - print only format   Agreement DP
Subdivision Agreement Notarization Forms icon - Adobe PDF - print only format   Notary PL
Subdivision (Performance) Agreement (2-party) icon - Adobe PDF - print only format   Agreement DP
Subdivision (Performance) Agreement (3-party) icon - Adobe PDF - print only format   Agreement DP
Subdivision Variance Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Application PL
Taxpayer Identification Number and Certification, Request for icon - Adobe PDF - print only format   Request PR
Temporary Water Meter Agreement icon - Adobe PDF - print only format   Agreement PU
Temporary Water Meter Agreement icon - MS WORD   Agreement PU
Use Permit Excavation Borrow Pit Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Permit PL
Use Permit Solid Waste Application
     Instructions
icon - Adobe PDF - print only format yes - red checkbox Permit PL

Utility Field Change Request --> Field Change Request

icon - Adobe PDF - print only format   Request PU
Vacation of Interior Lot Lines
     Instructions Only
icon - Adobe PDF - print only format yes - red checkbox Instructions Only PL
Personal Property Relief Act of 1998
Vehicle Usage Certification
icon - Adobe PDF - fill-in and print format yes - red checkbox Personal Property CR
Vendor Registration Application icon - Adobe PDF - print only format   Application PR
Volunteer Application, City of Chesapeake Online Form yes - red checkbox Apply Online HR
Voter Registration Application, Virginia icon - Adobe PDF - print only format yes - red checkbox Application STATE
W.I.C. - Women, Infants and Children

Partial Application
& Complete Application
Online Form yes - red checkbox Apply Online STATE
Zoning (see Rezoning)     Application PL

State & Federal Forms & Applications - Resources

  1. State of Virginia Forms
  2. Virginia State Board of Elections - Forms
  3. Federal Forms

Symbols & Abbreviations

icon - Adobe PDF - print only format Adobe PDF - Print Only
icon - Adobe PDF - fill-in and print format Adobe PDF - Fill-in & Print
icon - MS WORD Microsoft WORD - Fill-in, Print, Save, Edit, & Email attachment
icon - MS EXCEL Microsoft EXCEL - Fill-in, Print, Save, Edit, & Email attachment


AC Animal Control
CC Circuit Court
CK City Clerk
CR Commission of Revenue
DP Development & Permits Department
FD Fire Department
GD General District Court
VDH Health Department, Virginia
HR Human Resources Department
JR Juvenile & Domestic Relations Court
MC Mosquito Control Commission
PR Parks & Recreation Department
PL Plannng Department
PU Public Utilities Department
PW Public Works Department
PR Purchasing Division (General Services Department)
TR Treasurer's Office
VR Voter Registrar's Office
 

City of Chesapeake Virginia

City Hall Address:
306 Cedar Road
Chesapeake, VA 23322

Blue Heron

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