Yonkers, NY · Westchester County
Homeowners Affidavit of Exemption for Workers’ Compensation
This BP-1 affidavit lets an owner-occupant of a one- to four-family residence certify why they are exempt from showing workers’ compensation coverage for work covered by a building permit.
- 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
Homeowners use this BP-1 form when applying for a building permit for an owner-occupied residence with one to four families, including a condominium, and need to claim an exemption from showing specific proof of workers’ compensation coverage. The owner checks the applicable reason, certifies the information under penalty of perjury, and agrees to provide coverage or exemption proof if the stated work-hour conditions apply. Once notarized, the form serves as an exemption for workers’ compensation and disability benefits insurance coverage.
Who needs it
An owner-occupant applying for a building permit for a one- to four-family residence who qualifies for an exemption from showing specific workers’ compensation coverage may need this affidavit.
Why it needs a notary
The homeowner signs the sworn certification before a notary public or commissioner of deeds, who completes the form’s “Sworn to before me” jurat.
How to get this notarized
- 1
Download The BP-1 Form
Get the Yonkers Homeowners Affidavit of Exemption for Workers’ Compensation.
- 2
Fill In The Affidavit
Provide the property address and homeowner details, then check the exemption reason that applies.
- 3
Book An Online Notary
Arrange a session with a commissioned online notary before signing the sworn statement.
- 4
- 5
Submit The Form
Submit the notarized BP-1 with your building-permit materials to the government entity issuing the permit.
Preview the form
The blank PDF straight from Yonkers. 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 complete the Yonkers homeowners exemption affidavit?
- Enter the property address and homeowner information, check the applicable exemption reason, and sign the sworn statement before a notary public or commissioner of deeds.
- Do I need to sign the BP-1 form in front of a notary?
- Yes. The form includes a “Sworn to before me” jurat, so the homeowner must sign before a notary public or commissioner of deeds.
- Can I use a commissioned online notary for this form?
- New York has authorized remote online notarization for its own notaries under Executive Law §135-c since 2023. Use a commissioned online notary and confirm with the city, town or village if unsure.
- What happens if paid workers reach 40 hours per week?
- The form says the homeowner must obtain appropriate workers’ compensation coverage and provide proof or, if appropriate, file a CE-200 exemption form. It also allows the general contractor to provide appropriate proof.
Homeowners Affidavit of Exemption for Workers’ Compensation in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.