Special Event Inspection Application (Event Holder)
Please select the island or region you are applying from:
*
St. Thomas
St. John
St. Croix
Event Name
Event Adress
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Date
-
Month
-
Day
Year
Date
Vendor/Applicant Name
First Name
Last Name
Contact Person Name
First Name
Last Name
Contact Person Number
Please enter a valid phone number.
Format: (000) 000-0000.
Applicant's Signature
Date
-
Month
-
Day
Year
Date
Back
Next
Official Use Only
Inspection Fee
Late Fee
Time Consumed
Total Paid
Date Paid
Receipt #
Certificate No.
Expiration Date
-
Month
-
Day
Year
Date
Inspected By:
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Approved
Disapproved
Authorized Representative
Continue
Continue
Should be Empty: