Elmira, NY · Chemung County

No notary required

Rental Housing Registration Form

Building owners use this form to register rental properties with the Town of Elmira Code Enforcement Department or report changes to registration information.

What this form is

The form registers a building containing one or more rental dwelling units and lets an owner report a new registration or changes to property, owner, or agent information. The Town requires a new form within 60 days after a transfer of ownership or a change in the information provided. It asks for building details and owner information, with additional sections for certain ownership types and an agent when required.

Who needs it

Owners of buildings with one or more rental dwelling units in the Town of Elmira must register each building and submit an updated form after a qualifying change.

How to submit it

Submit the completed form to the Town of Elmira Code Enforcement Department at 1255 W. Water St., Elmira, NY 14905, or contact [email protected].

About notarization

This form is signed and dated without a notary; the owner also solemnly affirms under penalties of perjury that the information is true and correct.

How to submit this form

  1. 1

    Download The Form

    Download the Rental Housing Registration Form.

  2. 2

    Complete The Registration

    Enter the building, owner, and applicable ownership or agent information; select whether this is a new registration or a change.

  3. 3

    Add Extra Information If Needed

    Use the additional information sheet if the form does not provide enough space, as directed on the form.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the Town of Elmira Code Enforcement Department at the address shown.

Frequently asked questions

Who must file the Rental Housing Registration Form?
The owner of each building containing one or more rental dwelling units must complete and submit the form to register the building with the Town.
When must an owner submit a new registration?
The form says to submit a new registration within 60 days after a transfer of ownership or a change in the information provided.
Do I need a notary for the Rental Housing Registration Form?
No. The form is signed and dated without a notary, but the owner must solemnly affirm under penalties of perjury that the information is true and correct.
How do I submit the Rental Housing Registration Form?
Submit it to the Town of Elmira Code Enforcement Department at 1255 W. Water St., Elmira, NY 14905. The form also lists [email protected].

Need something notarized?

This Rental Housing Registration Form doesn’t need a notary — but if you have another Elmira form that does, a commissioned online notary can help.