Riverside, CA · Riverside County

No notary required

Multifamily Smoke and Carbon Monoxide Alarm Self-Certification

Property owners or responsible parties use this form to certify that required smoke and carbon monoxide alarms are installed in a multifamily dwelling or sleeping unit.

What this form is

This form records a property owner’s or responsible party’s certification that required carbon monoxide alarms were installed in compliance with the stated code requirements and manufacturer instructions. The document describes retrofit requirements for certain permitted work exceeding $1,000 in multifamily dwelling units and hotel or motel sleeping units. It asks for the property address, permit number, responsible party, printed name, date, and signature.

Who needs it

Property owners or responsible parties may complete this voluntary self-certification when the stated alarm retrofit requirements apply to permitted work.

How to submit it

The form names the Building & Safety Division at 3900 Main Street, 3rd Floor, Riverside, CA 92522. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; it mentions no notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download The Form

    Download the Multifamily Smoke and Carbon Monoxide Alarm Self-Certification.

  2. 2

    Complete The Form

    Enter the property address, permit number, and responsible party’s printed name; then sign and date the certification.

  3. 3

    Gather Attachments

    The document does not identify any required attachments.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Multifamily Alarm Self-Certification?
No. The document is signed and dated without a notary and mentions no notarized or sworn attachment or related step.
Who uses this self-certification form?
A property owner or responsible party can use it to certify that required alarms have been installed in a multifamily dwelling or sleeping unit.
When does the document describe alarm retrofit requirements?
It describes requirements for certain permitted work exceeding $1,000 in multifamily dwelling units and hotel or motel sleeping units.
How do I submit the Multifamily Alarm Self-Certification?
The form names the Building & Safety Division at 3900 Main Street, 3rd Floor, Riverside, CA 92522. Check the city website for current contact details.

Need something notarized?

This Multifamily Smoke and Carbon Monoxide Alarm Self-Certification doesn’t need a notary — but if you have another Riverside form that does, a commissioned online notary can help.