Forms & Applications

Citywide Forms & Applications

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TITLE	FORMAT	INFO	TYPE	DEPT
Absentee Ballot Application	Online		Application	STATE
Absentee Ballot Status Lookup	Online		Information	STATE
Admission Tax Report			Business Tax	CR
Agricultural Divisions and Resubdivisions Application	Online		Application	PL
Ancillary Bond Agreement (generic)			Agreement	PW
Ancillary Bond Agreement (75% Occupancy)			Agreement	PW
Animal License for Dogs & Cats			License	TR
Asbestos Certification Statement			Certification	DP
Backflow Prevention Device Test Report			Report	PU
Boards & Commission Name Bank Application	Online Form		Application	CK
Boat Assessment Appeal Form			Personal Property	CR
Boat Disposition Form			Personal Property	CR
Building Permit (Pre-application)			Permit Application	DP
Board of Zoning Appeals (BZA) Application			Application	DP
CBPA Appeal Application (Chesapeake Bay Preservation Act)	Online		Application	PL
CBPA Exception Application (Chesapeake Bay Preservation Act)	Online		Application	PL
CBPA Review Committee Application (Chesapeake Bay Preservation Act)	Online		Application	PL
Certificate of Appropriateness (Combined)	Online		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			PW
Chesapeake Expressway E-ZPass https://www.ezpassva.com	Online		Apply Online	PW
Civic League Registration Form Civic League Directory (pdf)			Registration	DP
Conditional Use Permit Application	Online		Permit Application	PL
Conditional Use Permit Application Checklist (Storefronts UP-1204)			Permit Application	PL
Contractor's Certification of Insuring Liability for Worker's Compensation in Virginia			VA State Form	STATE
Cost of Utility Improvements			Certification	PU
Courts - Circuit Court Forms			Court Forms	CC
Courts - General District Court Forms			Court Forms	GDC
Courts - Juvenile & Domestic Relations District Court Forms			Court Forms	JDR
Deed of Dedication			Deed	PU
Deed of Easement Instructions			Easement	PU
Defect Agreement			Agreement DRAFT	DP
Defect Bond			Bond	PU
Disabled Veterans Real Estate Tax Exemption			Application	CR
Electrical Permit Application			Permit Application	DP
Employment Application, City of Chesapeake	Online		Apply Online	HR
Excavation Bond			Bond	PW
Fence Application - for Secondary Front Yard of Corner Lots and Through Lots Only Instructions			Application	DP
Field Change Request Instructions			Request	PU
Fire Protection Permit Application			Permit Application	DP
Flat Rate Room Tax Report			Business Tax	CR
Food and Beverage Tax Report			Business Tax	CR
Food Assistance - Supplemental Nutrition Assistance Program (SNAP) Apply for Benefits			Application	STATE
Hauling & Moving Permit			Permit Application	PW
Hazardous Materials Systems Permit Application			Permit Application	DP
Health Department (Virginia Department of Health) Forms			Health Dept. Forms	VDH
HRSD Project Information Form (Hampton Roads Sanitation District)			Public Utilities & HRSD	HRSD
Inspection Request	Online		Apply Online	DP
Letter of Credit			Letter of Credit	PU
Letter of Credit (Ancillary Bond)			Letter of Credit	DP
Letter of Credit (Defect Bond)			Letter of Credit	DP
Letter of Credit (Performance Bond)			Letter of Credit	DP
Land Disturbing Permit Application			Permit Application	DP
Land Locked Property Agreement for Water and/or Sewer Connection			Agreement	PU
Lodging Tax Report			Business Tax	CR
Lot Grading Certification			Certification	DP
Mechanical/Gas Permit Application			Permit Application	DP
Mosquito Control – Request for Services	Online Form		Apply Online	MC
Motor Vehicle Assessment Appeal Form			Personal Property	CR
Neighborhood Association Directory Form			Registration	DP
Neighborhood Coordination Emergency Contacts Form			Information	DP
Notice of Claim Instructions for filing Claims for Compensation	Online Form		Apply Online	CA
On-Site Statement of Completion → Statement of Completion			Statement	PU
Outdoor Sales Permit Application - Agricultural Outdoor Sales Permit Application- Nonagricultural			Permit Application	DP
Outdoor Special Event Application			Application	BoCP
Permits *See Building Permit, Electrical Permit, Mechanical/Gas Permit, & Plumbing Permit.				DP
Permit Application *Franchise Utilities only			Permit Application	DP
Permit Bond			Bond	DP
Pet Adoption Applications Dog Adoption Cat Adoption			Application	AC
Plan Review Fee			Fee	DP
Plumbing Permit			Permit Application	DP
Pool Fence Affidavit			Affidavit	DP
Preliminary Subdivision Plan Application	Online		Application	PL
Preliminary Site Plan Application	Online		Application	PL
Probate Information Form			Information	CC
PUD Creation/Modification Application	Online		Application	PL
PUD Deviation Application	Online		Application	PL
Real Estate Tax Exemption for Surviving Spouse of US Armed Forces Member Killed in Action			Application	CR
Refund or Prorated Assessment, Request for			Request Form	CR
Request for Refund or Prorated Assessment			Personal Property	CR
Rental Tax Report			Business Tax	CR
Resident Notification			Notify	PW
Agricultural Divisions, Conservation Divisions and Resubdivisions Application	Online		Application	PL
Return of Business Tangible Personal Property for Local Taxation			Business Tax	CR
Rezoning Application	Online		Application	PL
Right-of-Way Monument Letter *Print on consultant's letterhead			Letter	DP
Right of Way Permit Application *Contact permits engineer in Development & Permits Department			757-382-6101	DP
Runoff Control Permit Application			Permit Application	PU
Sewage and Water Service Forms, VA Dept. of Health (for septic & private wells)			Division of Sewage & Water Services	VDH
Sewer Facility Operation & Maintenance Agreement			Agreement	PU
Shed Permit Application (Less Than 256 Sq. Feet)			Permit Application	DP
Site Plan Construction Statement of Completion			Statement	PU
Smart Tag and City Discount Program Application Chesapeake Expressway			Apply On & Offline	PW
Solicitor Application – Door to Door			Permit Application	PD
Special Exception Application	Online		Application	PL
Special Inspection, Hampton Roads Area Statement of Instructions			Statement	DP
Statement of Responsibility – Project Fees			Fees	PU
Statement of Responsibility for Subdivision Inspection Fees			Fees	DP
Street Closure Petition	Online		Petition	PL
Street Light Installation Cost Agreement *Print on your letterhead with address			Agreement	DP
Subdivision Agreement Notarization Forms			Notary	PL
Subdivision (Performance) Agreement (2-party)			Agreement	DP
Subdivision (Performance) Agreement (3-party)			Agreement	DP
Subdivision Variance Application	Online		Application	PL
Temporary Water Meter Agreement			Agreement	PU
Use Permit Excavation Borrow Pit Application Instructions			Permit Application	PL
Use Permit Solid Waste Application Instructions			Permit Application	PL
Utility Field Change Request: Field Change Request			Request	PU
Vacation of Interior Lot Lines Instructions Only			Instructions Only	PL
Vendor Registration Application			Application	PUR
Volunteer Application, City of Chesapeake	Online		Apply Online	HR
Voter Registration Application, Virginia	Online		Application	STATE
Water and Sewer Home Service Application Release Form to turn on water when not home.	Online		Apply Online	PU
W.I.C. - Women, Infants and Children	Online		Apply Online	STATE
Zoning (see Rezoning)			Application	PL

Symbols & Abbreviations

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AC	Animal Control
CC	Circuit Court
CA	City Attorney
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