Do I need a notary for the Fire Retardant Spray Affidavit?

No. The certified applicator signs and dates the affidavit under penalty of perjury. The form identifies a Certificate of Registration as evidence of the applicator's license.

Who completes the Fire Retardant Spray Affidavit?

The property owner and the certified applicator submit the signed affidavit when the owner chooses fire retardant spray for a non-Class A wood roof.

What information does the affidavit request?

It asks for property and spray details, the manufacturer's recommended effectiveness period, and the certified applicator's information and warranty period, if any.

How do I submit the Fire Retardant Spray Affidavit?

The form says the property owner and certified applicator shall submit the signed affidavit. It lists the Community Development Division's mailing address and email.

Beverly Hills, CA · Los Angeles County

No notary required

Fire Retardant Spray Affidavit

Property owners and certified applicators complete this affidavit to document fire retardant spray applied to a non-Class A wood roof in Beverly Hills.

What this form is

This affidavit documents fire retardant spray applied to a property's non-Class A wood roof as a way to comply with the city's Wood Roof Provisions. The property owner and certified applicator submit a signed affidavit stating the spray's manufacturer-recommended effectiveness period and the applicator's warranty period, if any. It also collects property, spray, and applicator details, including the applicator's certification.

Who needs it

A property owner choosing spray treatment for a non-Class A wood roof and the certified applicator who applied it need to complete and sign the affidavit.

How to submit it

The form says the property owner and certified applicator shall submit the signed affidavit. It lists Community Development Division, 455 North Rexford Drive, Beverly Hills, CA 90210, and [email protected].

About notarization

No notary is required; the certified applicator signs and dates under penalty of perjury and identifies a Certificate of Registration as evidence of licensure.

How to submit this form

1
Download The Affidavit
Download the Fire Retardant Spray Affidavit PDF.
2
Complete The Form
Fill in all sections with the property, spray, manufacturer, effectiveness period, and certified applicator information.
3
Gather Certification Details
Have the certified applicator provide the Certificate of Registration details identified by the form as evidence of a general applicator license.
4
Sign And Date
The property owner and certified applicator submit a signed affidavit; the applicator signs and dates the certification.
5
Submit To The City
Submit it to the Community Development Division at the address or email listed on the form.

Frequently asked questions

Do I need a notary for the Fire Retardant Spray Affidavit?: No. The certified applicator signs and dates the affidavit under penalty of perjury. The form identifies a Certificate of Registration as evidence of the applicator's license.
Who completes the Fire Retardant Spray Affidavit?: The property owner and the certified applicator submit the signed affidavit when the owner chooses fire retardant spray for a non-Class A wood roof.
What information does the affidavit request?: It asks for property and spray details, the manufacturer's recommended effectiveness period, and the certified applicator's information and warranty period, if any.
How do I submit the Fire Retardant Spray Affidavit?: The form says the property owner and certified applicator shall submit the signed affidavit. It lists the Community Development Division's mailing address and email.

Need something notarized?

This Fire Retardant Spray Affidavit doesn’t need a notary — but if you have another Beverly Hills form that does, a commissioned online notary can help.