Form HPD4 "Certificate of No Harassment (CONH) Pilot ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the LOCATION INFORMATION section. Enter the House Number(s), Street Name, and Borough as required.
3. Proceed to the APPLICANT OF RECORD section. Input your Last Name, First Name, MI, Business Name, Business Phone, Business Address, City, State, Zip Code, Mobile Phone, and Email Address.
4. In the COVERED CATEGORIES OF WORK section, answer YES or NO for each work type related to your Job Number. Ensure you check all applicable items.
5. If any box in Section 3 is checked YES, move to EXEMPTIONS and select all that apply. Attach any necessary supporting documentation as indicated.
6. Complete the CERTIFICATION DECLARATION by checking one option if applicable and attach the required supporting document.
7. Finally, fill out the APPLICANT STATEMENT & SIGNATURES section. Print your name, sign and date the form. Ensure you apply your PE/RA seal if required.

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