Munsey Park, NY · Nassau County

Plumber’s Affidavit

This affidavit documents a licensed plumber’s inspection and certification that work complies with applicable codes, and is submitted with the related Village of Munsey Park permit application.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The affidavit identifies the permit and property address, the plumber’s Town of North Hempstead license, the inspection date and method, and the plumber’s certification about code compliance. The form says affidavits must be on licensed plumbers’ letterhead and refers to work covered by the permit application. The plumber signs the statement under penalty of law, and the Village may rely on it to determine whether the work complies with applicable codes.

Who needs it

A licensed plumber completing work covered by a Village of Munsey Park permit application may need this affidavit to document an inspection and code-compliance certification.

Why it needs a notary

The form carries a jurat stating “Sworn to before me”; the licensed plumber who makes the affidavit signs it before the notary.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Plumber’s Affidavit from the Village of Munsey Park.

  2. 2

    Fill In the Details

    Complete the permit, address, license, inspection and verification information on licensed plumbers’ letterhead.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary.

  4. 4

    Sign on Video

    Sign the affidavit during the video session when directed by the notary.

  5. 5

    Submit to the Village

    Submit the notarized affidavit with the related permit application.

Preview the form

The blank PDF straight from Munsey Park. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the Plumber’s Affidavit?
Use licensed plumbers’ letterhead, fill in the permit, address, license, inspection and verification details, then sign the sworn statement before a notary.
Do I need to sign this affidavit before a notary?
Yes. The form includes a “Sworn to before me” jurat, so the plumber making the affidavit signs before a notary.
Can I sign the Plumber’s Affidavit online?
New York authorizes remote online notarization by a commissioned online notary. You can sign during a video session; check with the Village about submitting the completed affidavit.
What information should I have ready?
Have the permit number, property address, Town of North Hempstead plumber license number, inspection date and a description of how the work was verified ready.
Where do I submit the completed affidavit?
The form refers to a Village permit application. Submit it with the related application, and confirm with the city, town or village if unsure about submission details.

Plumber’s Affidavit in other New York cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Plumber’s Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.