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Forms

Where available, you can submit a form by entering information in the appropriate text fields and clicking the Submit button, or you can download forms and fill them out when it's convenient for you. Many of the forms still require your signature; please either mail or deliver these to our offices.

Please note, most Dutchess County forms are available as PDF documents. This format requires that you have Adobe Acrobat Reader installed on your PC. Click on the Adobe Acrobat Reader icon Adobe Acrobat icon to download a free copy of this software.

View All Dutchess County Forms (A - Z)

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All Forms


Gas Station Complaint Form

If there is a discrepancy in the amount of gas pumped and the price, complete the Gas Station Complaint Form.  Please note your Name and Telephone number are confidential. 



Item Pricing Waiver Application (.pdf)

To request a waiver, complete the Item Pricing Requirement Waiver Application (.pdf).  See the Item Pricing Waiver Application Instructions (.pdf) Scanner Location and Signage Requirements (.pdf) for more information.

Return to:
Department of Behavioral & Community Health (DBCH)
Division of Weights & Measures
98 Peach Road, Poughkeepsie, NY 12601
Tel: 845-486-2949
Fax: 845-486-2947



Local Agent for the Service of Process for Precious Metal License Application Form

The Application Form for Local Agent for Service of Process (.pdf) must be completed by the Precious Metal License applicant who does not maintain a permanent business or residence within Dutchess County.

Cover Sheet(.pdf) (Non-Dutchess County Residents) 



Precious Metal License Application (.pdf)

Dutchess County requires any person purchasing precious metals to be licensed per Local Law No. 8 of 1987.  Complete the Application for Precious Metal License, call the Dutchess County Sheriffs Permit Division, 150 North Hamilton Street, Poughkeepsie, New York 845-486-3883 to make and appointment to hand deliver the application for processing.  Please read the Precious Metal Licensing Application Instructions (.pdf) for more information.



Precious Metal License Change of Information Form (.pdf)

If you currently have a Precious Metal License and your information has changed, you will need to submit a Change of Information Form (.pdf).



Store Complaint Form

If you experienced an item pricing or scanning issue at a business, complete the Store Complaint Form.