Civ 194 mold 2025

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The document is a certification form for the correction of mold violations in New York, requiring the signer to affirm their role regarding the property and confirm that identified mold issues have been addressed according to safety regulations. It includes sections for personal information, details about the violation, and necessary licenses if a firm was involved in remediation. The signer acknowledges potential penalties for false certification.

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Click ‘Get Form’ to open the civ 194 mold in the editor.
Begin by filling in your county and printing your name in the designated fields. This establishes your identity and location.
Indicate whether the building is a multiple dwelling or a one/two-family house. Select the appropriate checkbox based on your occupancy status and registration with the Division of Code Enforcement.
In section two, provide details about the Notice of Violation ID and list any violation numbers you are addressing. Confirm that corrections have been made, including identifying the source of mold.
Specify who performed the correction work—yourself, an employee, or a managing agent—and print their name if applicable. If a firm was used, attach necessary licenses as indicated.
Finally, sign and date the form at the bottom. Ensure that you understand the implications of false certification before submitting.

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