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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.
Search DPWES Forms
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 | • | |
| Building Code Modification Request Form | • |
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 Inspection: PDF | DOC | • | |
| Swimming Pool Electrical Inspection Report and Certification | • | |
| Vent/Chimney Certification | • |
Permit Forms
Plan Review Forms
| Form Name | Fillable |
Legal Size |
|---|---|---|
| Accessibility Compliance Form: 2006 IBC | 2009 IBC | • | |
| Building Information Form | • | |
| Cover Sheet for Townhouses and Single Family Dwellings | • | |
| Deck Attachment Certification | • | |
| Electrical Energy Certification Form | • | |
| Expedited Building Plan Review Program Routing Form | ||
| Permission to Edit Construction Documents | ||
| Residential Heat Loss and Heat Gain Certification (for forced air systems) | Instructions | 2006 version | • | • |
| Residential Heat Loss and Heat Gain Certification (for hot water heating) | • | |
| Revision Routing Form | ||
| Statement of Special Inspection: PDF | DOC | • | |
| Truss Plan Cover Sheet | • |
Environment
General Forms
| Form Name | Fillable |
Legal Size |
|---|---|---|
| Solar Energy Equipment Tax Exemption | • |
Chesapeake Bay Preservation Ordinance Forms
Stormwater Forms
| Form Name | Fillable |
Legal Size |
|---|---|---|
| Detention Pond Planting Application & Authorization Request Form | • |
Tree Conservation Forms
| Form Name | Fillable |
Legal Size |
|---|---|---|
|
Celebrated Trees: Big Tree | Historic Tree | Commemorative Tree | Favorite Tree |
• | |
| Heritage, Memorial, Specimen and Street Tree Nomination Form | ||
| Request for Waiver/Modification of Tree Canopy and Transitional Screening/Barrier Requirements |
Land Use and Development
General Forms
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 (.xlsx) | |||
| Stormwater Management Agreement | • | • | • |
| Street Acceptance Checklist | |||
| Surety Value Estimate (.xlsx) | • | ||
| Tree Replacement Agreement | • |
Inspection Forms
| Form Name | Fillable |
Legal Size |
|---|---|---|
| Backflow Prevention Test | Device Testers | ||
| Project Completion Checklist for Developer |
Public Works and Utilities
Utilities Forms
| Form Name | Fillable |
Legal Size |
|---|---|---|
| Streetlight Cost Estimate Request | • |
Wastewater Forms
Recycling and Trash
Collection Forms
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 Collector | ||
| Application for Disposal Permit - Nonsolid Waste Collector | ||
| Application for Tire Disposal Permit | ||
| Application for Commercial Cash Permit | ||
| Waste Delivery Disposal Agreement |
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