Islandia, NY · Suffolk County
Carbon Monoxide Detector Affirmation
Islandia homeowners use this affirmation to certify that required working carbon monoxide detectors are installed in a rental premises.
What this form is
This affirmation records a homeowner’s certification that operational carbon monoxide detectors have been installed in a rental premises. It states that one working detector is required on each level and includes spaces for the homeowner’s signature and date. The document also notes that smoke detectors are required on each floor and inside and outside each bedroom.
Who needs it
A homeowner certifying carbon monoxide detector installation in a rental premises uses this document.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; it also states that smoke detectors are required on each floor and inside and outside each bedroom.
How to submit this form
- 1
Download The Affirmation
Download the Carbon Monoxide Detector Affirmation PDF.
- 2
Complete The Affirmation
Certify that required operational carbon monoxide detectors are installed in the rental premises.
- 3
Sign And Date
The homeowner signs and dates the affirmation.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Carbon Monoxide Detector Affirmation certify?
- It certifies that operational carbon monoxide detecting devices have been installed as required in a rental premises, including one working detector on each level.
- Who uses this Islandia affirmation?
- A homeowner uses it to certify carbon monoxide detector installation in a rental premises. The form includes spaces for the homeowner’s signature and date.
- Do I need a notary for the Carbon Monoxide Detector Affirmation?
- No. The document is signed and dated without a notary. It also states that smoke detectors are required on each floor and inside and outside each bedroom.
- How do I submit the Carbon Monoxide Detector Affirmation?
- The document does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Carbon Monoxide Detector Affirmation doesn’t need a notary — but if you have another Islandia form that does, a commissioned online notary can help.