Town of Oyster Bay
Office of the Town Clerk
54 Audrey Avenue
Oyster Bay, NY 11771
Fax 516-624-6396
Richard LaMarca, Town Clerk
GreenPass Application for Beach Permit
Personal Information: Vehicle Information:
Application Date Vehicle Make and Model
Applicants Name Vehicle License Plate Number
Applicants Street Address NYS DMV Clean Pass Vehicle
Verified from Vehicle Registration
City State Zip Code
Approved by:
Applicants Telephone Number
Applicants Signature Office of the Town Clerk