Get Affidavit Of Mold Assessment

Filling out the Affidavit of Mold Assessment is crucial for documenting your findings as a licensed mold assessor. This guide provides clear instructions on how to complete the form online efficiently and accurately.

Follow the steps to complete the form properly.

1. Click the ‘Get Form’ button to access the Affidavit of Mold Assessment and open it in your chosen editor.
2. Start by filling in the date at the top of the form. Ensure it reflects the current date or the date of assessment.
3. Enter the licensed mold assessor’s firm name. This should match the name registered with the relevant licensing authority.
4. Provide the mold assessor’s firm license number in the designated field. Double-check for accuracy.
5. Input the expiration date of the firm’s license to confirm its validity.
6. Complete the firm’s address section, including street, city, state, and zip code.
7. Fill in the contact telephone number for the firm to provide users a way to reach out for further inquiries.
8. Include a valid email address to ensure communication regarding the mold assessment is seamless.
9. Next, provide the property address where the assessment took place, including any apartment or unit number as applicable.
10. List any violation numbers associated with the mold assessment to ensure proper documentation.
11. Signature is required; print the name of the mold assessor who prepared the assessment and include the date the mold remediation plan was created.
12. Indicate the date of the post-remediation assessment completion in the provided space.
13. Certify that the licensed mold remediator has properly addressed any mold hazards by marking the appropriate box and detailing the compliance with safety and work practices.
14. Attach a copy of your mold assessment license, along with a filing receipt from the Department of Environmental Protection related to the Post-Remediation Assessment.
15. Finalize the form by signing and dating it in front of a notary public, ensuring the notarization is completed.
16. Once everything is filled out and verified, save your changes, then download, print, or share the completed Affidavit of Mold Assessment as needed.

Complete your documents online today for a streamlined filing experience!