Harriman, NY · Orange County

No notary required

Rental Registration Form

Property owners use this form to register residential rental properties in the Village of Harriman and provide information about units, occupancy, and safety features.

What this form is

The form registers residential rental property and is used for new registrations and annual renewals. It asks for owner and property details, building and unit information, occupancy limits, and fire and other safety features. Submit a typical floor-layout sketch with the completed form; the owner or an appropriate business officer must certify the information and sign and date the form.

Who needs it

Owners of residential rental properties in the Village of Harriman submit this form for new registrations and annual renewals.

How to submit it

Submit the completed form and required floor-layout sketch to the Harriman Building Department at 1 Church Street, Harriman, New York 10926. Include the listed fee; checks are payable to the Village of Harriman.

About notarization

This form is signed and dated without a notary; the owner or appropriate business officer certifies the information, and no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Form

    Download the Rental Registration Form PDF.

  2. 2

    Complete The Form

    Enter the registration period, property and owner details, building and unit information, occupancy limits, and safety features; then sign and date it.

  3. 3

    Prepare The Sketch

    Attach a schematic drawing showing the typical floor layout of the units and rooms, with appropriate designations and identifications.

  4. 4

    Submit To The Building Department

    Send the completed form, sketch, and listed fee to the Harriman Building Department at 1 Church Street, Harriman, New York 10926.

Frequently asked questions

Do I need a notary for the Rental Registration Form?
No. This form has no notary block; the owner or appropriate business officer certifies the information and signs and dates it.
How do I submit the Rental Registration Form?
Submit the completed form and required floor-layout sketch to the Harriman Building Department at 1 Church Street, Harriman, New York 10926. Include the listed fee.
What should I attach to the registration form?
Submit a schematic drawing showing the typical floor layout of units and rooms, with appropriate designations. You may describe safety features on the form or attach a separate sheet.
When must rental registration be renewed?
The form states that registration renewals must be submitted annually. It also requires an updated form within 30 days when information becomes outdated.