Get Ny Affidavit Of Compliance Af-5 2022-2025

The NY Affidavit of Compliance AF-5 is a crucial document for property owners addressing lead-based paint hazard violations. This guide will provide a clear and supportive overview of how to complete the form online, step by step.

Follow the steps to fill out the affidavit correctly.

1. Press the ‘Get Form’ button to access the NY Affidavit of Compliance AF-5 and open it in the online editor.
2. In the 'Violation Number(s)' field, list the violation numbers associated with the lead-based paint hazards you have corrected.
3. Enter the apartment number where the violations occurred in the provided field.
4. In the section starting with 'I, __________', type or print your full name.
5. Complete the address section by providing the full building address, including the borough.
6. Select your status concerning the property by checking one of the provided options.
7. Acknowledge your understanding of the required work practices by confirming that you have read HPD's guide.
8. Attach an original sworn statement from the EPA-certified firm or individual who completed the work. Ensure it includes essential details such as work dates and contact information.
9. Include a copy of the EPA certification for the performing firm and attach proof of the lead-contaminated dust clearance test results.
10. Compile additional documents as needed, including an affidavit from the individual who took dust samples and their EPA certificate.
11. Once all sections are completed and documents are attached, review the affidavit for accuracy.
12. You may now save your changes, download the completed affidavit, print it, or share it as needed.

Complete the NY Affidavit of Compliance AF-5 online to ensure compliance and avoid potential penalties.