Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Special Events Permit

  1. IS THE APPLICANT THE PROPERTY OWNER?*
  2. WILL ALCOHOL BE SOLD OR CONSUMED*
  3. IS THERE A PROMOTER FOR THIS EVENT?*
  4. ELECTRICAL DEVICE INSTALLATION
  5. OUTDOOR LIGHTING
  6. BLEACHERS
  7. TENTS
  8. TENT FLAPS
  9. AMUSEMENT RIDES
  10. BUSINESS LICENSE:
  11. TRANSIENT OCCUPANY TAX: WILL OVERNIGHT STAYS BE ALLOWED?
  12. IF IT IS DEEMED NECESSARY TO HAVE ON-SITE MEDICAL OR FIRE PROTECTION, PLEASE CONTACT FIRE AND EMS AT 804-469-4588.
  13. ACCORDING TO THE COUNTY’S SECURITY POLICY
  14. By signing below, I pledge and certify the following:
    1. I hereby certify that the information on this form and the documents provided for support are accurate, true and correct to the best of my knowledge and belief.
    2. I pledge to hold the special event described on this application in accordance with all applicable federal, state, and local laws and regulations.
    3. I authorize the county administrator; his lawful agents, including but not limited to those officials approving plans and providing certifications as required by the Dinwiddie County Code, and duly constituted law-enforcement officers to go upon the property at any time for the purpose of determining compliance with all applicable federal, state, and local laws and regulations.
  15. Leave This Blank:

  16. This field is not part of the form submission.