Get Ny Civ 194 Mold 2019-2026

The NY CIV 194 MOLD form serves to certify the correction of mold violations in multiple dwellings. This guide will provide you with step-by-step instructions on completing this form online in a user-friendly manner.

Follow the steps to successfully complete the NY CIV 194 MOLD form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the county name where the property is located in the first section of the form.
3. Next, print your full name in the designated area provided.
4. Indicate whether the building is a multiple dwelling and confirm that you are registered with the Division of Code Enforcement by selecting one of the roles: Owner, Officer or Director, Managing Agent, or other registered responsible party.
5. In the subsequent section, specify the Notice of Violation ID number and the corresponding violation numbers that have been corrected.
6. Provide the date on which the violations were corrected, ensuring you reference the safe work practices as outlined in the relevant codes.
7. Attach the necessary documents, including licenses of the mold assessment and remediation contractors, affidavits, and any relevant filing receipts from the Department of Environmental Protection.
8. Once all fields are completed accurately, review the form carefully to ensure all information is correct.
9. Finally, provide your signature, print your name, and include your phone number in the designated areas. Ensure you have a notary public available to witness your signature.
10. After signing, save your changes, and you'll have the option to download, print, or share your completed form.

Complete your NY CIV 194 MOLD form online today to manage your mold violation certifications efficiently.