Lifetime Veterans Application

The Mattituck Park District welcomes Mattituck and Laurel veterans, service members (or suriving spuses) to use the parks and recreational facilities operated by the Mattituck Park District. For a description of these facilities, please visit mattituckparks.gov .

The veteran (as well as those in the vehicle with the current MPD Beach Permit) is entitled to free use of facilities operated by these offices, for which there is normally a charge.

The MPD Beach Permit issued to veterans is not valid for waiver of fees for services operated by an outside concessionaire.

Qualifications and requirements are described within the application.

Annually, the MPD will contact the veteran to confirm appropriate eligibility.

To ensure that your application can be approved for processing please be sure that all of the items below are submitted to the office either by mail (Mattituck Park District PO Box 1413 Mattituck, NY 1195), in person, or scans via email (clerk@mattituckparks.gov) after completing this application.

Copy of your current Driver License, Non-Driver Identification Card.
If ID is not from Mattituck or Laurel, please also provide a copy of your Southold Town tax bill.
Copy of proper certification such as a DoD CAC or a DD-214 from the VA.

Please allow 2 weeks for processing of this application.

For questions contact our office during regular business hours. 631-298-9103

Do you own property within the Mattituck Park District or reside there as a year-round renter? *

YesNo

Are you an honorably discharged veteran, service member or surviving spouse?*

YesNo

If you are not an honorably discharged veteran, are you currently active duty in an Armed Service, a member of the National Guard, or a member of the Reserves?*

YesNo

Name/Surname & Property House № and Street*

Hamlet:

Email:*

example@example.com

Phone Number:*

Birth Date*

MonthDayYear

Street or PO Box/City/State/ZIP if Permit to be Mailed Elsewhere:

*

I certify that the information provided is true to the best of my knowledge. I understand that falsely certifying this information is PUNISHABLE AS A CLASS “A” MISDEMEANOR PURSUANT TO SECTION 210.45 OF THE PENAL LAW.

Signature

Lifetime Veterans Beach Permit Application

Certification