Get Form Af-5 - Nyc.gov - Nyc

Navigating the process of filling out the Form Af-5 is essential for addressing lead-based paint violations effectively. This guide provides a clear, step-by-step approach to complete the form, ensuring users meet all requirements confidently.

Follow the steps to successfully complete the Form Af-5.

1. Click ‘Get Form’ button to obtain the form and open it in your editor of choice.
2. Enter your full name in the designated field, certifying that you are over twenty-one years of age and are the registered owner or managing agent of the premises in question.
3. Input the Multiple Dwelling Registration number if applicable.
4. Confirm that you have read the HPD's 'Guide to Local Law 1 of 2004 Work Practices' and are aware of the required work practices by checking the appropriate box or writing a statement as needed.
5. Attach the sworn statement made by the agent or employee who performed the work to correct the lead-based paint violations, ensuring it includes that the work was done according to the legal requirements stated in the form.
6. Include a copy of the EPA certification for the firm that completed the work correcting the lead-based paint hazards.
7. Attach the lead-contaminated dust clearance test results from a New York State certified laboratory.
8. Ensure you have a copy of the current Certificate of Training for the individual who performed the clearance test, or provide proof that the HPD conducted the test.
9. Review all entered information for accuracy before you finalize the form.
10. Once satisfied, save your changes, download the completed form, or print it for submission.

Complete your Form Af-5 online today to ensure compliance with lead-based paint regulations.