City of Piqua Ohio Forms and Applications

Forms and Applications

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Applications for Copy of Birth and Death Certificates

For more information regarding these forms visit the birth certificates or death certificates web pages or contact:

Piqua Health and Sanitation
201 W Water Street
Piqua OH 45356
937-778-2060
e-mail Health & Sanitation Department

Babysitting Emergency Data Form

Babysitting Emergency Data Form (to print from your computer's browser)

For more information regarding this form visit the Babysitting Safety web page or contact:

Piqua Fire Department
229 W. Water Street
Piqua OH 45356
937-778-2013
911 - Emergency
e-mail Piqua Fire Department

Backflow Prevention Device Inspection Form

Backflow Prevention Device Inspection Form

For more information regarding this form visit the Backflow Prevention web page or contact:

Piqua Water System
9300 N St. Rt. 66
Piqua OH 45356
937-778-2090
e-mail Water Department

Food Service Licenses Forms

For more information regarding these forms visit the Food Service Information web page or contact:

Piqua Health and Sanitation
201 W Water Street
Piqua OH 45356
937-778-2060
e-mail Health & Sanitation Department

Income Tax Forms

Income Tax Questionnaire
(If you are a new Business in Piqua please fill out this tax questionnaire)
Instructions for Preparing City Income Return (For Year 2012)
2012 City Income Tax Return
Instructions for Preparing City Income Return (For Year 2011)
2011 City Income Tax Return
Instructions for Preparing City Income Return (For Year 2010)
2010 City Income Tax Return
Instructions for Preparing City Income Return (For Year 2009)
2009 City Income Tax Return
Instructions for Preparing City Income Return (For Year 2008)
2008 City Income Tax Return
Instructions for Preparing City Income Return (For Year 2007)
2007 City Income Tax Return
Instructions for Preparing City Income Return (For Year 2006)
2006 City Income Tax Return
Tax Extension Form
Certification Form

Refund Request Form

PW-1: Return of Income Tax Withheld

PW-3: Reconciliation of Returns

PQ-1: Quarterly Notice of Installment Due on Estimated Tax Declared

For more information regarding these forms visit the Income Tax Forms web page or contact:

Piqua Income Tax Department
201 W Water Street
P.O. Box 1223
Piqua OH 45356
937-778-2009
e-mail Piqua Income Tax Department

Parade Permit

Parade Permit Application

A parade permit application must be completed and approved by the City. The permit helps the City assist local groups with arrangements for an orderly parade. Return the completed form to the City Manager's Office. For more information regarding this form or the application process, contact:

City Manager's Office
201 W Water Street
Piqua OH 45356
937-778-5170
e-mail City Manager's Office

Procedure for Appointments to City Boards and Committees

Public Board or Committee Application

Purchasing Department Forms

Residence Pride Nominating Form

Residence Pride Nominating Form (to print from your computer's browser)

For more information regarding this form visit the Residence Pride Award web page or contact:

Piqua City Manager's Office
201 W. Water Street
Piqua OH 45356
937-778-2051
email Residence Pride Committee

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