Application for New or Existing Funeral Home | Great Neck Water Pollution Control District

Please fill out the Applicant Information and Site Information sections of the application. Your request for application cannot be processed if the required fields are not filled out. Once the District verifies that your property is within the service area, we will send a deposit for cost invoice to the email provided. When payment is received, you will receive instructions on how to proceed.

Applicant Contact Information

*Required Field

Applicant Name:*

Company Name:*

Mailing Address:*

Mobile Phone:*

E-mail Address:*

Site Information

Building Owner’s Name:*

Owner’s Contact Phone:*

Company Name:*

Site Address:*

Zip Code:*

Section:*

Block:*

Lot:*