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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.

View Symbol & Department Abbreviations legend    State & Federal Forms

TITLE FORMAT INFO TYPE DEPT
Absentee Ballot Application icon - Adobe PDF - print only format   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 icon - Adobe PDF - print only format   Application PL
Ancillary Bond Agreement (generic) icon - Adobe PDF - print only format   Agreement PW
Ancillary Bond Agreement (75% Occupancy) icon - Adobe PDF - print only format   Agreement PW
Animal License for Dogs & Cats icon - Adobe PDF - print only format yes - red checkbox License TR
Asbestos Certification Statement icon - Adobe PDF - fill-in and print format   Certification DP
Backflow Prevention Device Test Report icon - Adobe PDF - fill-in and print format   Report PU
Boards & Commission Name Bank Application icon - Adobe PDF - fill-in and print format   Application CK
Boat Assessment Appeal Form icon - Adobe PDF - fill-in and print format Personal
Property
CR
Boat Disposition Form icon - Adobe PDF - fill-in and print format Personal
Property
CR
Building Permit (Pre-application) icon - Adobe PDF - fill-in and print format   Permit
Application
DP
Board of Zoning Appeals (BZA) Application icon - Adobe PDF - fill-in and print format   Application DP
CBPA Appeal Application
  (Chesapeake Bay Preservation Act)
icon - Adobe PDF - print only format   Application PL
CBPA Exception Application
  (Chesapeake Bay Preservation Act)
icon - Adobe PDF - print only format   Application PL
CBPA Review Committee Application
  (Chesapeake Bay Preservation Act)
icon - Adobe PDF - print only format   Application PL
Certificate of Appropriateness (Combined) icon - Adobe PDF - print only format yes - red checkbox Historic
Certificate
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 Easement
  Instructions
icon - Adobe PDF - print only format   Easement PU
Defect Agreement icon - Adobe PDF - print only format   Agreement
DRAFT
DP
Defect Bond icon - Adobe PDF - print only format   Bond PU
Electrical Permit Application icon - Adobe PDF - fill-in and print format   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 Yard of Corner Lots and Through 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
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
  Application for Benefits   Solicitud por Beneficios
icon - Adobe PDF - print only format yes - red checkbox Application STATE
Hauling & Moving Permit icon - Adobe PDF - print only format   Permit
Application
PW
Hazardous Materials Systems Permit Application icon - Adobe PDF - print only format   Permit
Application
DP
Health Department (Virginia Department of Health) Forms 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
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 - fill-in and print format   Permit
Application
DP
Land Locked Property Agreement for Water and/or Sewer Connection icon - Adobe PDF - print only format   Agreement PU
Lodging Tax Report icon - Adobe PDF - fill-in and print format   Business Tax CR
Lot Grading Certification icon - Adobe PDF - fill-in and print format   Certification DP
Mechanical/Gas Permit Application icon - Adobe PDF - print only format   Permit
Application
DP
Mosquito Control - Request for Services Online Form   Apply Online MC
Motor Vehicle Assessment Appeal Form icon - Adobe PDF - fill-in and print format 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 - print only format   Information DP
On-Site Statement of Completion → Statement of Completion icon - Adobe PDF - print only format   Statement PU
Outdoor Sales Permit Application icon - Adobe PDF - print only format   Permit
Application
DP
Outdoor Special Event Application icon - Adobe PDF - fill-in and print format   Application BoCP
Permits
  *See Building Permit, Electrical Permit,
   Mechanical/Gas Permit, & Plumbing Permit.
      DP
Permit Application
  *Franchise Utilities only
icon - Adobe PDF - fill-in and print format   Permit
Application
DP
Permit Bond icon - Adobe PDF - print only format   Bond DP
Pet Adoption Applications
  Dog Adoption   Cat Adoption
icon - Adobe PDF - fill-in and print format yes - red checkbox Application AC
Plan Review Fee icon - Adobe PDF - print only format   Fee DP
Plumbing Permit icon - Adobe PDF - print only format   Permit
Application
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   Request Form CR
Request for Refund or Prorated Assessment icon - Adobe PDF - fill-in and print format 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
Agricultural Divisions, Conservation Divisions and Resubdivisions Application icon - Adobe PDF - print only format   Application PL
Return of Business Tangible Personal Property 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 Department
  757-382-6101 DP
Runoff Control Permit Application icon - Adobe PDF - print only format   Permit
Application
PU
Sewage and Water Service Forms, VA Dept. of Health
  (for septic & private wells)
icon - Adobe PDF - print only format   Division of
Sewage & Water Services
VDH
Sewer Facility Operation & Maintenance Agreement icon - Adobe PDF - print only format   Agreement PU
Shed Permit Application (Less Than 150 Sq. Feet) icon - Adobe PDF - fill-in and print format   Permit
Application
DP
Site Plan Construction Statement of Completion icon - Adobe PDF - print only format   Statement PU
Smart Tag and City Discount Program Application
  Chesapeake Expressway
  yes - red checkbox Apply On
& Offline
PW
Solicitor Application – Door to Door icon - Adobe PDF - print only format yes - red checkbox Permit
Application
PD
Special Exception Application
  Instructions
icon - Adobe PDF - print only format yes - red checkbox Application PL
Special Inspection, Hampton Roads Area Statement of
  Instructions
icon - Adobe PDF - fill-in and print 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 icon - Adobe PDF - print only format   Request For PUR
Temporary Water Meter Agreement icon - Adobe PDF - print only format   Agreement PU
Use Permit Excavation Borrow Pit Application
  Instructions
icon - Adobe PDF - print only format yes - red checkbox Permit
Application
PL
Use Permit Solid Waste Application
  Instructions
icon - Adobe PDF - print only format yes - red checkbox Permit
Application
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
Vehicle Usage Certification
  Personal Property Relief Act of 1998
icon - Adobe PDF - fill-in and print format Personal
Property
CR
Vendor Registration Application icon - Adobe PDF - print only format   Application PUR
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
HR Human Resources Department
JR Juvenile & Domestic Relations Court
MC Mosquito Control Commission
PD Police Department
PL Planning Department
PR Parks & Recreation Department
PU Public Utilities Department
PUR Purchasing Division (General Services Department)
PW Public Works Department
TR Treasurer's Office
VDH Health Department, Virginia
VR Voter Registrar's Office
 

City of Chesapeake Virginia

City Hall Address:
306 Cedar Road
Chesapeake, VA 23322

Blue Heron

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