City of Derby Claim Form

Notice of Claim Form - Click Here

All claims must be submitted to the Town/City Clerk's Office and must include a copy of the Police Report. 

Liquor Permit
Filing Fee for Liquor Permit - $20.00
 

Military Service Records

Click Here for link to National Archives - to order an official copy of your DD214 Military Discharge or other Military Service Records   

Veterans must file their DD214 Military Discharge with the Town/City Clerk's Office in order to apply for any eligible tax exemptions. There is no fee to file and records must be submitted prior to the October 1st Grand List deadline in order to be considered for the following year (if you have already filed your DD214 with our office, there is no need to file it again with us each year). Please contact the Tax Assessor's Office for more information regarding tax exemptions.

Notary Public Services             

Fee for Notarizing a Document - $5.00 per document
Filing Fee for New Certificate of Appointment as a Notary Public - $20.00
Filing Fee for Renewal of Certificate of Appointment as a Notary Public - $20.00  
Filing Fee for Replacement Certificate of Appointment as a Notary Public - $15.00
Authentication of Signature of a Notary Public in Derby - $5.00

Trade Name Certificates

Trade Name Certificate - Click Here for Fillable Form     

Filing Fee for Trade Name Certificate - $10.00   
Fee for Certified Copy of Trade Name Certificate filed in Derby - $3.00   

When completing your Trade Name Certificate application, please do not sign the form until in the presence of a notary or our office staff. All Trade Name Certificates are subject to the approval of our Zoning Enforcement Official prior to being issued. If you are opening a Limited Liability Company (LLC), Corporation, or Partnership, please register your business name with the State of Connecticut Secretary of the State's Office, Click Here for CT Online Business Services, before submitting an application with the City. Please also contact the Naugatuck Valley Health District at (203) 881-3255 for additional licensing requirements that may apply.

Revocation of Trade Name Certificate - Click Here for Fillable Form

Filing Fee for Revocation of Trade Name Certificate - $10.00   
Fee for Certified Copy of Revocation of Trade Name Certificate filed in Derby - $3.00  

Vendor License / Permit Application

Vendor License / Permit Application with Instructions - Click Here

Annual Licenses Only - must be submitted to the Derby Town/City Clerk's Office

Day Permits Only - must be submitted to the Derby Police Department

Witek Park Kayak and Canoe Permit  - Free - Derby Residents Only

Witek Park Kayak and Canoe Permit Application - Click Here