New York Window Guard Form

I want window guards even though i have no children 10 years of age or younger tenant print tenant s signature.

New york window guard form.

Date tenant s address apt no. Window falls prevention 212 676 2162 window guards required lease notice to tenant appendix a wf 013 rev. For more information about window guard requirements in new york city visit the new york city department of health and mental hygiene website. Window guards are installed in all windows as required.

Space between the horizontal bars should be no more than 4 1 2 inches wide. 11 2018 new york city department of health and mental hygiene return this form to. This quick form will take approximately 2 3 minutes to complete and is required by new york state law. Once you are ready to begin simply press start below.

Protect your child from lead poisoning and window falls annual notice new york city law requires that tenants living in buildings with three or more apartments complete this form and return it to their landlord before february 15 each year. I want window guards even though i have no children 10 years of age or younger tenant print tenant s signature date tenant s address apt no. For questions about insurance call us at 877 576 5200 or send us an email. Each window guard must have a health department approval number imprinted on a stile vertical bar of the window guard.

Window guards must be made of rigid metal and be a minimum of 15 inches tall with three or more horizontal bars. Appendix a wf 013 rev.