Company Name - City of Boston - cityofboston 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Business Name and Address in the designated fields at the top of the form. Ensure accuracy for proper identification.
3. Fill in the Company Name, Address, City, State, Zip Code, and 24 Hour Emergency Service Phone Number. This information is crucial for emergency contact purposes.
4. In Section A, answer each question regarding the cleaning and inspection of your ventilation system. Use 'Yes' or 'No' as applicable and provide comments where necessary.
5. Complete the Owner Rep Name and Signature sections at the bottom of the first page to validate your submission.
6. If any deficiencies are noted (marked as 'No'), ensure to complete the deficiency report on page 2 and submit it within 5 business days as instructed.

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