Nyack, NY · Rockland County

Dryer Vent Certification Form

The Dryer Vent Certification Form documents cleaning and maintenance at a building’s laundry room and is completed by the property owner, manager, or servicing company for the Nyack Fire Inspector.

Detailed form~25 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 form records the building address, servicing date, dryer details, maintenance checklist, and work performed, along with a certification that the vents were cleaned and are working properly. Nyack’s instructions say to complete a separate inspection form for each laundry room after servicing and send the report to the Fire Inspector by fax or mail. The information sheet says dryer vent servicing should occur at least four times a year.

Who needs it

Property owners or managers, or a company or staff member performing the work, complete a separate certification for each laundry room after dryer vent servicing.

Why it needs a notary

The form carries an “Affirmed to before me” block; the person certifying the dryer vent work signs before a notary public.

How to get this notarized

  1. 1

    Download the Form

    Get the Dryer Vent Certification Form from the Village of Nyack.

  2. 2

    Complete the Form

    Enter the building and servicing details, answer the checklist, and describe the work performed.

  3. 3

    Book an Online Notary

    Arrange an online notarization for the person making the certification.

  4. 4

    Sign on Video

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

  5. 5

    Submit to the Village

    Fax or mail the completed form to the Nyack Fire Inspector.

Preview the form

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

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Info

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 submit the completed certification?
Nyack’s instructions say to fax or mail the completed certification to the Fire Inspector after servicing. Complete a separate form for each laundry room on the property.
Do I need to sign the form in front of a notary?
The certification form includes an “Affirmed to before me” line and a Notary Public signature line. The person making the certification signs before the notary.
Can I sign this form with a commissioned online notary?
New York authorizes remote online notarization by its notaries under Executive Law §135-c. A commissioned online notary can notarize your signature in an online session.
How often should dryer vents be serviced?
The form’s information sheet says dryer vent pipes should be serviced at least four times a year and that lint screens should be checked and cleaned weekly. Confirm with the city, town or village if unsure.

Ready to notarize your Dryer Vent Certification Form?

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