Forms


Most forms from the Department of Public Works and Environmental Services are available in PDF format. In order to view, fill out and print the forms you will need to have Adobe Reader installed on your computer. Some forms, as indicated, may be filled-out online prior to printing and/or must be submitted on legal size (8 1/2 inches x 14 inches) paper.

Forms can be accessed under the subject areas listed below or by searching with form name or keyword.

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Building Permits

Fire Marshal Forms  

Form Name Fillable Legal Size
Building Information Form  
more...    

General Forms 

Form Name Fillable Legal Size
Request for Records (FOIA)    
Building Code Appeals Application  

Inspection Forms

Form Name Fillable Legal Size
Ejector/Grinder Pump Request Form  
Electrical Inspection Report and Certification Form  
Elevator/Escalator Certificate of Compliance    
Sewer and/or Water Service Connection Agreement    
Statement of Special Inspections  
Swimming Pool Electrical Inspection Report and Certification  

Permit Forms

Form Name Fillable Legal Size
Affidavit for Construction of a Single Family Dwelling on an Existing Foundation    
Affidavit for Demolition of Accessory Structures  
Affidavit of Permit Authorization  
Annual Permit Report and Certification  
ANSI Square Footage Certification    
Asbestos Certification    
Asbestos Inspection Exemption    
Asbestos Removal Certification    
Bond for Demolition of Building: Residential | Commercial    
Building Permit Application (sample only) | Instructions    
Commercial Annual Permit Application  
Conservation Agreement
Conservation Agreement Information for Owners of Individual Lots  
Electrical Permit Application  
Elevator Permit Application    
Fax Permit Program    
Household Appliance Permit Application    
Industrialized Building / Manufactured Home Affidavit  
Mechanical Permit Application  
Modified Processing Request Form    
Multiple-Family Residential Use Permit Application  
Owner/Developer Affidavit  
Plumbing Permit Application  
Property Ownership Affidavit  

Plan Review Forms

Form Name Fillable Legal Size
Accessibility Compliance Form  
Building Information Form  
Cover Sheet for Townhouses and Single Family Dwellings  
Deck Attachment Certification  
Electrical Energy Certification Form  
Energy Calculations - these forms are no longer required; see Energy Conservation for more information    
Expedited Building Plan Review Program Routing Form    
Permission to Edit Construction Documents    
Residential Heat Loss and Heat Gain Certification (for forced air systems): Printable | Interactive | Instructions
Residential Heat Loss and Heat Gain Certification (for hot water heating)  
Revision Routing Form    
Statement of Special Inspections  
Truss Plan Cover Sheet  

 

Environment

General Forms

Form Name Fillable Legal Size
Solar Energy Equipment Tax Exemption  

Chesapeake Bay Preservation Ordinance Forms

Form Name Fillable Legal Size
Exception Request Form & Water Quality Impact Assessment-Minor Additions    
Exception for Public Hearing (RPA)  
Chesapeake Bay Preservation Ordinance Waiver/Exemption/Exception Request

Stormwater Forms

Form Name Fillable Legal Size
Detention Pond Planting Application & Authorization Request Form    

 

Land Use and Development

General Forms

Form Name Fillable Legal Size
Big Tree Registry-Big Tree Nomination Form  
Builder's Application for Temporary Waiver  
Buildable Lot Validation Request Form    
Innovative BMP Tracking Form | Instructions  
Minor Site Plan Application Form  
Modified Processing Request Form    
Parking Tabulation Form    
Post Submission Conference Request Form    
Priority Rating Form for E&S Control | Descriptions  
Proposed Amendment to the Public Facilities Manual    
Record Plat and Final Subdivision Plat Checklist  
Request for Residential Use Permit  
Request for Waiver/Modification of the Provisions of Article 13 of Zoning Ordinance  
Request for Records (FOIA)    
Responsible Land Disturber Certification  
Simple Subdivision Eligibility Checklist    
Site and Subdivision Plan Cover Sheet | PDF | DWG format    
Waiver Request Form  
Waste Stream Calculation for Multifamily Properties  
Waste Stream Calculation for Nonresidential Uses  

Bonds and Agreements Forms

Form Name Original, double-sided print required Fillable Legal Size
Certificate of Insurance (sample only)      
Completion Agreement  
Conservation Agreement - Cash
Conservation Agreement - Letter of Credit
Development Agreement
Development Agreement Supplemental Form  
Development Construction Schedule (sample only)      
Extension Request  
Future Construction Agreement  
Letter of Credit      
Letter of Credit - Conservation Agreement      
Letter of Credit - Extension Verification      
Letter of Credit - Extension Verification (Increase or Decrease in Bond)      
Letter of Credit - Tree Replacement Agreement      
Performance Bond (Corporate Surety)
Performance Bond - Verification Certificate      
Pro Rata Share Agreement
Sanitary Sewer Agreement  
Set-Aside Letter      
Set-Aside Letter - Bank Extension      
Site Inspection Fee Computation (.xlt)      
Stormwater Management Agreement
Street Acceptance Checklist      
Surety Value Estimate (.xlt)    
Tree Replacement Agreement    

Inspection Forms

Form Name Fillable Legal Size
Backflow Prevention Test    
Project Completion Checklist for Developer    

 

Public Works and Utilities

Wastewater Forms 

Form Name Fillable Legal Size
Business Film Developing Form    
Discharge Groundwater From Remediation Site    
Discharge Groundwater From Underground Storage Tank Remediation Site Form    
Discharge Leachate From Nonhazardous Landfill  
Ejector/Grinder Pump Request Form    
Wastewater Discharge Application    
Zero Discharge Certification    

 

Recycling and Trash

Collection Forms 

Form Name Fillable Legal Size
Waste Stream Calculation for Multifamily Properties  
Waste Stream Calculation for Nonresidential Uses  

Disposal Forms 

All disposal forms require a W-9 "REQUEST for TAXPAYER IDENTIFICATION NUMBER and CERTIFICATION" be on file with the Fairfax County Division of Solid Waste Disposal & Resource Recovery. This form can be obtained from the IRS online or from their FAXBACK service at 703-368-9694, TTY 711. The form number is 10231 and the instruction sheet is form 20479.

Form Name Fillable Legal Size
Application for Certificate to Operate, Collect, Transport and Dispose of MSW - Solid Waste Collectors    
Application for Disposal Permit - NON-Solid Waste Collector    
Application for Tire Disposal Permit    
Application for Commercial Cash Permit    
Waste Delivery Disposal Agreement    


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