Riverbank, CA · Stanislaus County
Carbon Monoxide Alarm Retrofit Verification
Riverbank property owners and tenants use this form to verify that required carbon monoxide alarms are installed in the dwelling and tested properly.
What this form is
This form records an owner’s and tenant’s verification that required carbon monoxide alarms have been installed in the dwelling and tested. The document describes retrofit requirements for existing dwellings when permitted alterations, repairs, or additions exceed $1,000, but states that this verification procedure is voluntary. It asks for the dwelling address and owner and tenant names, signatures, and dates.
Who needs it
A property owner and tenant who choose to complete the voluntary verification sign the form to confirm the dwelling’s required alarms are installed and tested.
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 verification is signed without a notary; it identifies no notarized attachment or sworn step, and both owner and tenant sign and date it.
How to submit this form
- 1
Download the Form
Download the Carbon Monoxide Alarm Retrofit Verification PDF.
- 2
Complete the Form
Enter the dwelling address and owner and tenant names. Both signature lines must be completed and dated.
- 3
Check for Attachments
The document does not list any attachments to gather.
- 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
- What does the Carbon Monoxide Alarm Retrofit Verification confirm?
- It records the owner’s and tenant’s affirmation that required carbon monoxide alarms are installed in the dwelling in compliance with the stated requirements and have been tested.
- Who signs the verification form?
- Both the property owner and tenant must complete the signature lines. If the tenant is the owner, the form says to write “Same” for the tenant name.
- Do I need a notary for the Carbon Monoxide Alarm Retrofit Verification?
- No. The form is signed without a notary and identifies no notarized attachment or sworn step; both the owner and tenant sign and date it.
- How do I submit the Carbon Monoxide Alarm Retrofit Verification?
- The form does not give a submission address or department. Submit it to the city department named on the form; check the city website for current contact details.