Hemet, CA · Riverside County
Self-Certification & Verification Form
Property owners use this form to verify smoke and carbon monoxide alarm installation and testing, and compliance with water-efficient plumbing fixture requirements.
What this form is
This form lets a property owner affirm that required smoke and carbon monoxide alarms are installed and working, and that plumbing fixtures meet the listed water-conservation rates. It also includes a tenant acknowledgment about the alarms. The form describes these requirements but does not state when the city requires submission.
Who needs it
A property owner verifying alarms and plumbing fixtures, and a tenant acknowledging that the alarms are installed, may use this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; the property owner and tenant sign, and no notarized or sworn attachment is identified.
How to submit this form
- 1
Download The Form
Download the Self-Certification & Verification Form.
- 2
Complete The Certification
Enter the property owner's name and unit location, then review the alarm and plumbing fixture statements.
- 3
Sign And Date
The property owner signs and dates the certification. The tenant may complete and sign the acknowledgment section.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does the Self-Certification & Verification Form verify?
- The property owner affirms that required smoke and carbon monoxide alarms are installed and tested, and that plumbing fixtures meet the water-conservation rates listed on the form.
- Who signs the form?
- The property owner signs and dates the certification. The form also has a separate tenant acknowledgment with spaces for the tenant's signature and date.
- Do I need a notary for the Self-Certification & Verification Form?
- No. The property owner and tenant sign and date this form without a notary; it identifies no notarized or sworn attachment.
- How do I submit the Self-Certification & Verification Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Self-Certification & Verification Form doesn’t need a notary — but if you have another Hemet form that does, a commissioned online notary can help.