Fillable Annual Notice Nyc Form in PDF
The Annual Notice NYC form is an essential document designed to protect children from lead poisoning and window falls in residential buildings. If you live in a building with three or more apartments, you must complete and return this form to your landlord each year by February 15. Failing to submit it means your landlord will need to visit your apartment to check for the presence of children. The form addresses two critical safety issues: lead paint hazards and window guards. Landlords are legally obligated to inspect for peeling lead paint if a child under the age of five resides in your apartment or spends significant time there. Additionally, they must install window guards if a child under ten lives with you or if you request them. It’s crucial to report any peeling paint to your landlord and to understand that window guards must be properly installed to ensure safety. This form is not just a bureaucratic requirement; it plays a vital role in safeguarding the well-being of children in your home.
Preview - Annual Notice Nyc Form
FOR USE AS OF JANUARY 1, 2021 |
To: Tenant |
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From: Landlord/Building Owner |
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Date: |
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PROTECT YOUR CHILD FROM LEAD POISONING AND WINDOW FALLS
Annual Notice
New YorkCity law requires that tenants living in buildings with three or more apartments complete this form and return it totheirlandlord before February15,each year.Ifyoudonotreturnthisform,yourlandlordisrequiredtovisityour apartment to determine if a child resides in your apartment.
Peeling Lead Paint
By law, your landlord is required to inspect your apartment for peeling paint and other lead paint hazards at least once a year if a child 5 years or younger lives with you or routinely spends 10 or more hours each week in your apartment.
•You must notify your landlord in writing if a child 5 years or younger comes to live with you during the year or routinely spends 10 or more hours each week in your apartment.
•If a child 5 years or younger lives with you or routinely spends 10 or more hours each week in your apartment, your landlord must inspect your apartment and provide you with the results of these paint inspections.
•Your landlord must use safe work practices to repair all peeling paint and other lead paint hazards.
•Always report peeling paint to your landlord. Call 311 if your landlord does not respond.
These notice and inspection requirements apply to buildings with three or more apartments built before 1960. They also apply to such buildings built between 1960 and 1978 if the landlord knows that lead paint is present.
Window Guards
By law, your landlord is required to install window guards in all of your windows if a child 10 years or younger lives with you, OR if you request window guards (even if no children live with you).
•It is against the law for you to interfere with installation, or remove window guards where they are required. Air conditioners in windows must be permanently installed.
•Window guards must be installed so there is no space greater than 4½ inches above or below the guard, on the side of the guard, or between the bars.
•ONLY windows that open to fire escapes, and one window in each first floor apartment when there is a fire escape on the outsideof thebuilding,arelegallyexempt from thisrequirement.
These requirements apply to allbuildings with three or more apartments, regardless of when they were built.
Fill out and detach the bottom part of this form and return it to your landlord.
Please check all boxes that apply:
A child 5 years or younger lives in my apartment or routinely spends 10 or more hours each week in my apartment.
A child 10 years or younger lives in my apartment and:
Window guards are installed in all windows as required.
Window guards need repair.
Window guards are NOT installed in all windows as required.
No child 10 years or younger lives in my apartment:
I want window guards installed anyway.
I have window guards, but they need repair.
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Street Address |
Apt.# |
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Signature |
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Telephone Number |
Deadline for return: February 15, 2021
Return form to: name and address of landlord or managing agent. Call 311 for more information about preventing lead poisoning and window falls.
Approved 11/6/2020
Form Characteristics
| Fact Name | Details |
|---|---|
| Purpose of the Form | This form is used to protect children from lead poisoning and window falls in New York City. |
| Who Must Complete It | Tenants living in buildings with three or more apartments are required to fill out and return this form to their landlord annually. |
| Inspection Requirements | If a child 5 years or younger lives in the apartment, the landlord must inspect for lead hazards at least once a year. |
| Window Guard Regulations | Landlords must install window guards if a child 10 years or younger resides in the apartment or if requested by the tenant. |
| Reporting Peeling Paint | Tenants should report peeling paint to the landlord. If no action is taken, they can call 311 for assistance. |
| Governing Laws | This form is governed by New York City laws regarding lead paint and window safety, specifically for buildings built before 1960 or those with known lead paint hazards. |
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