Island Park, NY · Nassau County
Rental Occupancy Permit Renewal
Island Park landlords use this renewal form to update rental occupancy information and renew a permit for the 2026 registry period.
What this form is
This form renews a rental occupancy permit for the January 1 through December 31, 2026 registry period. It asks for owner and rental property details, the number of rental units, and a current list of occupants; it also provides space to report changes to owner or authorized agent information. The form requests a $200 registry fee per unit and refers to a smoke and carbon affidavit on the reverse.
Who needs it
Landlords with rental property in Island Park use this form to renew the rental occupancy permit for the 2026 registry period.
How to submit it
Sign and date the form, then submit it to the Incorporated Village of Island Park with the required registry fee of $200 per unit, payable by cash or check to the Village.
About notarization
This renewal form is signed without a notary; it refers to a smoke and carbon affidavit on the reverse but does not say that it must be notarized.
How to submit this form
- 1
Download The Renewal Form
Download the Rental Occupancy Permit Renewal for the 2026 registry period.
- 2
Complete The Form
Enter the owner, rental property, phone, Sandy Restoration number, unit count, current occupants, and any applicable changes.
- 3
Gather Any Additional Information
Attach a separate sheet if more occupant names are needed, and review the reverse for the smoke and carbon affidavit.
- 4
Sign And Submit
Sign and date the form, then submit it to the Incorporated Village of Island Park with the $200-per-unit fee.
Frequently asked questions
- Do I need a notary for the Rental Occupancy Permit Renewal?
- No. The renewal form is signed without a notary. It refers to a smoke and carbon affidavit on the reverse but does not say that the affidavit must be notarized.
- How do I submit the Rental Occupancy Permit Renewal?
- Sign and date the form, then submit it to the Incorporated Village of Island Park with the required $200-per-unit registry fee, payable by cash or check to the Village.
- What information does the renewal form ask for?
- It asks for owner and rental property information, the number of rental units, a current occupant list, and any applicable changes to owner or authorized agent details.
- What is the registry fee listed on the form?
- The form lists a registry fee of $200 per unit, payable by cash or check to the Village of Island Park.
Need something notarized?
This Rental Occupancy Permit Renewal doesn’t need a notary — but if you have another Island Park form that does, a commissioned online notary can help.