Get Form Af 3-4 Rev 5-09.doc. Options - Home Nyc 2020-2025

Filling out the FORM AF 3-4 Rev 5-09 is a crucial step for addressing lead-based paint violations in New York City. This guide will provide you with detailed, user-friendly instructions on how to complete the form accurately online.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Violation Number(s)' section, enter the violation numbers you received, making sure to separate multiple numbers with commas if applicable.
3. Next, fill in the apartment number in the 'Apt #' field.
4. In the 'State of New York' section, specify the county relevant to the property.
5. Complete the personal information section by typing or printing your full name, ensuring you are at least twenty-one years of age and acting as the registered owner or managing agent of the premises.
6. Provide the entire building address, including the borough, in the designated field.
7. Enter the Multiple Dwelling Registration number in the appropriate section.
8. Review the required work practices documents you have read, then check the box corresponding to the correct situation regarding the violations: choose a, b, or c based on your circumstances.
9. If you checked option c, ensure you have attached copies of the sworn statement from the person who performed the work and the EPA certification for the firm responsible.
10. Fill in the date when the lead-contaminated dust clearance test was performed, ensuring accuracy.
11. Attach the results of the clearance test as well as the Certificate of Training for the individual who conducted that test.
12. Finally, check all entered information for accuracy, then save changes, download, print, or share the form as needed.

Complete your forms online today to ensure your compliance with lead-based paint regulations.