Get Pump-out Reimbursement Form - The Town Of Cortlandt

Filling out the Pump-Out Reimbursement Form for the Town of Cortlandt is a straightforward process designed to assist residents in seeking reimbursement for septic pump-out services. This guide will provide a clear step-by-step approach to completing the form accurately and efficiently online.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the form by providing your property owner's name in the designated field. Ensure that the name matches the title of the property to avoid discrepancies.
3. Next, enter the name of the septic collector in the appropriate section. This information is crucial for validating the service provided.
4. Fill in the street address of your property where the pump-out service was performed. Accuracy in this detail is vital for processing your request.
5. In the adjacent field, include the Westchester County Department of Health license number for the septic collector. This is necessary to confirm that the collector is properly licensed.
6. Indicate your municipality and complete the zip code field. This ensures that your request is directed correctly within the town's administrative processes.
7. Describe the work performed in the provided area, detailing the nature of the pump-out service. This description can help clarify the type of reimbursement being requested.
8. Provide your phone number to facilitate any necessary communication regarding your form. An optional email address can also be submitted for additional contact.
9. Ensure that a copy of your paid invoice for services performed and a copy of your completed inspection form are prepared to accompany your submission. These documents are essential for approval.
10. Review all sections for accuracy before submitting. After confirming the information, you can save your changes, download a copy of the form, print it for your records, or share it as needed.

Start completing your Pump-Out Reimbursement Form online today to secure your reimbursement efficiently.