City of Ukiah - PDF* Forms and Information Archive

PDF* Forms and Information Archive

City Hall
Community Services
Finance Department
Planning and Community Development
Public Works Department
Risk Management
Utilities Department
Water and Sewer Division

City Hall

Complete City Budget Report
	2012/13 City of Ukiah Budget
	2011/12 City of Ukiah Budget (PDF* 116KB)
	2010/11 City of Ukiah Budget (PDF* 116KB)
	2009/10 City of Ukiah Budget (PDF* 80KB)
	2006/07 City of Ukiah Budget (PDF* 2.2MB)
	2007/08 City of Ukiah Budget (PDF* 36KB)
	2008/09 City of Ukiah Budget (PDF* 35KB)

Adult Softball Leagues
City Clerk

Community Services

Youth Basketball Program
Girls Youth Softball League
Co-ed Volleyball League

Finance Department

Application Download
	City of Ukiah Business License Application and Instructions (PDF* 1.8MB)
	CA Division of Labor Standards Enforcement Information Sheet

Transient Occupancy Tax Return
	Transient Occupancy Tax Return Form (PDF* 512K)

Planning and Community Development

Applications and Information Downloads
	Site Development Permit Application (PDF* 26K)
	Use Permit Application (PDF* 27K)
	Portable Signs and/or Temporary Accessory Objects Application (PDF* 3MB)
	Temporary Banner, Pennants or Balloons Application (PDF* 128K)

Fees for Permits and Services
	City of Ukiah Fees for Permits and Services (PDF* 109K)

Construction Guide and Submittal Documents Checklists
	What you need to know about Construction and Development in Ukiah (PDF* 298K)
	Submittal Documents for a Residential Building Permit (PDF* 72K)
	Submittal Documents for a Commercial Building Permit (PDF* 104K)

Public Works Department

Public Works Applications and Information Downloads
	Insurance Forms (PDF* 196K)
	Easement/Grant Deed Dedication - Procedure (PDF* 40K)
	Boundary Line Adjustment - Procedure (PDF* 35K)
	Homeowners' Sidewalk Construction Reimbursement Program (PDF* 180K)
	Commercial Sidewalk Reimbursement Program (PDF* 180K)
	Permit to Move Oversize Loads through City Streets - Application (PDF* 2MB)
	Special Encroachment Permit - Application (PDF* 31K)
	Special Events Parade Permit - Application (PDF* 3MB)
	Creek Maintenance Policies (PDF* 6MB)
	Ukiah Downtown Streetscape Improvement Plan (PDF* 9MB)
	Bike and Pedestiran Master Plan (PDF* 16.2MB)
	Rail Trail Feasibility Study (PDF* 8.3MB)
	Pavement Management Program Final Report (PDF* 1.03MB)

Risk Management

Insurance Requirements-$1 Million Limit
	Contract Exhibit A Insurance Requirements-$1 Million (PDF* 28K)
	Insurance Requirements for Consultants (PDF* 30K)
	Insurance Requirements for Environmental Contractors and/or Consultants (PDF* 29K)
	Insurance Requirements for Lessees (No Auto Risks) (PDF* 25K)
	Insurance Requirements for Suppliers (PDF* 24K)
	Insurance Requirements for Contractors (with Construction Risks) (PDF* 46K)
	Insurance Requirements for Contractors (PDF* 27K)

Insurance Requirements-$2 Million Limit
	Insurance Requirements for Environmental Contractors and/or Consultants (PDF* 35K)
	Insurance Requirements for Contractors (with Construction Risks) (PDF* 35K)

Certificate of Insurance and Endorsement Samples
	Certificate of Insurance - sample (PDF* 168K)
	Additional Insured -- Owners, Lessees or Contractors - preferred endorsement (PDF* 44K)
	Additional Insured Endorsement - Owners, Lessees or Contractors - Completed Operations (PDF* 44K)
	Additional Insured Endorsement - Owners, Lessees or Contractors - Schedule Person or Organization (PDF* 48K)
	Automobile Liability Special Endorsement (PDF* 44K)
	Additional Insured Endorsement - State or Policitcal Subdivisions - Permits (PDF* 48K)
	Workers Compensation and Employer's Liability Special Endorsement - Waiver of Subrogation (PDF* 52K)
	Workers Compensation Declaration (PDF* 48K)

Claims Against the City of Ukiah
	Claim for Money or Damages Against the City of Ukiah (PDF* 93K)

Americans with Disabilities (ADA) Policies/Procedures
	Public Complaint Procedure (PDF* 21K)
	Public Complaint Claim Form (PDF* 16K)
	Employee Complaint Procedure (PDF* 24K)
	Employee Complaint Claim Form (PDF* 16K)

Utilities Department

Ukiah C.A.R.E.S. Information and Applications
	C.A.R.E.S. Information (PDF* 104K)
	C.A.R.E.S. Income Guide 2007-2008 (PDF* 496K)
	Application for Emergency Assistance (PDF* 90K)
	Application for Monthly Discount (PDF* 90K)
	Application for Senior Discount (PDF* 90K)

Applications and Rates for Utilities Services
	Residential and Commercial Utility Rates (updated Oct. 2007) (PDF* 96K)
	Residential Application for Utilities Services (PDF* 56K)
	Commercial Application for Utilities Services (PDF* 40K)
	Budget Billing Program Information Sheet (PDF* 68K)
	Budget Billing Program Application (PDF* 40K)

More Utilities Applications and Information
	Assistance Programs (PDF* 512K)
	Credit Card Authorization (PDF* 6K)
	EasyPay (PDF* 41K)
	Medical/Life Support Baseline (PDF* 12K)
	Third Party Notification (PDF* 5K)
	Property Owners Read and Transfer Services (PDF* 22K)

An Ordinance of The Ukiah Valley Sanitation District
	Grease Interceptor/Trap Policy Ordinance Article (PDF* 172K)

Energy Conservation Information and Applications
	Conservation Information and Tips (PDF* 194K)
	Energy Efficiency & Solar Programs (PDF* 193KB)
	Energy Efficient New Air Conditioner and Evaporative Cooler Rebate Application (PDF* 55KB)
	Energy Efficient New Heat Pump Rebate Application (PDF* 155K)
	Weatherization Rebate Application (PDF* 40KB)
	Residential Electric Storage Water Heater Rebate Application (PDF* 52KB)
	Residential Pool Pump Rebate Application (PDF* 31K)
	Residential Appliance Rebate Application (PDF* 62KB)
	Residential Lighting Rebate Application (PDF* 30KB)
	Duct Sealing Rebate Application (PDF* 29KB)
	Energy Conservation Rebate Income Guidelines 2006-2007 (PDF* 556K)
	Residential Existing Air Conditioner or Heat Pump Tune-Up Rebate Application (PDF* 47KB)
	Air Sealing Installation Certificate (PDF* 28KB)

Photovoltaic Information and Application
	Photovoltaic Interconnection Agreement (PDF* 157K)
	Photovoltaic Incentive Program Application (PDF* 2MB)
	PV Program Guidebook (PDF* 2MB)

Water and Sewer Division

Forms and Standards to be used by both City and District
	City and UVSD CCTV Sewer Lateral Report (PDF* 44K)
	Standards for Sewer Lateral Repair or Replacement of Privately Owned Portions (PDF* 128K)
	Standards And Requirements for CCTV Sewer Lateral Inspections (PDF* 108K)
	Application for Sewer Lateral Testing Permit (PDF* 80K)
	Sewer Lateral Inspection and Testing Qualifying Service Call Report (PDF* 54K)
	Application for Sewer Lateral Certificate of Compliance (PDF* 52K)
	Application for Sewer Lateral Replacement Grant Program (PDF* 171K)

Forms to be used for the City Sewer Lateral Program
	City Application for Sewer Lateral Testing Permit (PDF* 66K)
	City Application for Sewer Lateral Certificate of Compliance (PDF* 39K)
	City Sewer Lateral Certificate of Compliance (PDF* 84K)

Forms to be used for the District Sewer Lateral Program
	UVSD Application for Sewer Lateral Testing Permit (PDF* 48K)
	UVSD Application for Sewer Lateral Certification of Compliance (PDF* 70K)
	UVSD Sewer Lateral Certificate of Compliance (PDF* 70K)

Water Quality Reports
	2007 Water Quality Report (PDF* 284K)
	2006 Water Quality Report (PDF* 185K)
	2005 Water Quality Report (PDF* 854K)
	2004 Water Quality Report (PDF* 3.49MB)

Smoke Testing

*Requires Adobe® Acrobat Reader®

This page was updated on: August 12, 2007.

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