Nyack, NY · Rockland County
Apartment and Hallway Door, Smoke and Carbon Monoxide Alarm Certification
This certification documents an inspection of apartment and common-area doors, locks, and smoke and carbon monoxide alarms for property owners or managers submitting it to the Village of Nyack Fire Inspector.
- 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, inspection date, inspector, door count, and findings about self-closing doors, locks, apartment labels, alarms, and clear hallways. The property owner or manager is instructed to complete it after inspecting the doors and related safety items, then fax or email it to the fire inspector. It also provides space to describe work performed or problems and includes a certification under penalty of perjury.
Who needs it
Property owners or managers completing a fire safety inspection of apartment and common-area doors, locks, and smoke and carbon monoxide alarms must submit this certification to the Village of Nyack Fire Inspector.
Why it needs a notary
The property owner or manager signing the certification under penalty of perjury must sign before a notary at the form’s “Affirmed to before me” block.
How to get this notarized
- 1
Download the Certification
Get the Apartment and Hallway Door, Smoke and Carbon Monoxide Alarms Certification from the Village of Nyack.
- 2
Inspect and Fill Out the Form
Complete the inspection, record the building and inspector details, answer the checklist, and describe work performed or problems.
- 3
Book an Online Notary
Arrange a remote session with a commissioned online notary for the affirmation and notary block.
- 4
Sign on Video
Follow the notary’s instructions and sign the certification during the online video session.
- 5
Submit to the Fire Inspector
Fax or email the completed certification to the fire inspector as instructed on the form.
Preview the form
The blank PDF straight from Nyack. Look it over, then upload your filled copy to start the notary session.
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?
- The form instructs you to fax or email the completed certification to the fire inspector after inspecting the doors. Contact the inspector if you need current submission details.
- Do I need to sign this form in front of a notary?
- Yes. The certification includes a statement under penalty of perjury and an “Affirmed to before me” line followed by a Notary Public signature line.
- Can I use an online notary for this form?
- New York permits remote online notarization by a commissioned online notary. Confirm with the city, town or village if unsure whether it will accept the remotely notarized form.
- What should I inspect before completing the form?
- Check apartment and common-area doors, locks, apartment labels, smoke and carbon monoxide alarms, and hallway or common-area obstructions. The form also asks for the inspection date and any work or problems.