Follow the steps to complete the Civ 194 Mold form online.

1. Click 'Get Form' button to access the form and open it in your preferred editing tool.
2. Begin by filling out the county field where the property is located. Clearly state the county name.
3. In the name section, print your full name as the person certifying the correction of violations.
4. Indicate your relationship to the property by checking the appropriate box. Select one option confirming whether you are the owner, an officer or director of the owning corporation, or the managing agent.
5. If you are the owner-occupant of a one or two-family house, check the alternative affirmation stating that neither you nor any family member occupies it and that registration is not required.
6. Identify the violations by entering the Notice of Violation ID and the violation numbers. This information is crucial for accurately linking your certification to the specific issues.
7. Confirm the corrections by specifying how the violations were remedied, including if it was performed by yourself, an employee, or a managing agent. Provide the name of the individual responsible.
8. If a firm was used for the mold assessment and remediation, ensure to check the appropriate box and attach the necessary documentation, such as the Mold Assessment Contractor license.
9. Sign the form where indicated as the certifying individual. Include the date of your signature to authenticate the document.
10. Lastly, make sure to provide your phone number, and if applicable, arrange for the document to be notarized.
11. Once all fields are completed, save your changes, and you can download, print, or share the form as needed.

Complete your Civ 194 Mold form online today to ensure compliance and safety.