Templates
Bed bug disclosure form NYC template

Bed bug disclosure form NYC template

Facilitate clear communication and compliance with New York City’s bed bug disclosure requirements using our form template.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
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Bed bug disclosure form NYC template

Facilitate clear communication and compliance with New York City’s bed bug disclosure requirements using our form template.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

The bed bug disclosure form NYC is designed to help you comply with New York City’s legal requirements for disclosing bed bug infestations in rental properties. This template captures essential information about past and present bed bug issues, ensuring transparent communication between landlords and tenants.

It’s required for landlords to provide a written history notice of bed bug infestations to tenants and to resolve the problem within 30 days. The template makes compliance with these regulations easier while protecting both your property interests and tenant relationships, helping you avoid potential legal complications from inadequate disclosure.

Related categories

Preview of the template
Page 1
Bed Bug Disclosure
Have you or your landlord ever seen evidence of bed bugs in your home?
Have you or your landlord ever treated your home for bed bugs?
Do you know of any current bed bug infestations in your home or building?
Additional Information
If yes to any of the above, please provide details:

Frequently asked questions

When am I legally required to provide the bed bug disclosure form to tenants?

You must provide the bed bug disclosure form to tenants before they sign a new lease in NYC. Additionally, if bed bugs are discovered in a unit, you’re required to notify tenants in immediately adjacent units (above, below, and beside). Regular disclosure helps maintain transparency and protects you from potential legal issues related to non-disclosure.

What are the consequences if I fail to provide a bed bug disclosure form?

Failing to provide a bed bug disclosure form in NYC can result in penalties, including fines from the Department of Housing Preservation and Development. Tenants may also have grounds for legal action, potential lease termination, or rent abatement claims. Beyond legal consequences, you risk damaging tenant trust and your property management reputation through non-compliance.

How do I handle disclosures for a building with no bed bug history?

Even with no bed bug history, you must still provide the disclosure form stating there have been no infestations. Complete all sections, clearly marking “No” for each question, and include the date of your last inspection. This documentation protects you by establishing a clear record that proper disclosure was provided, even when reporting no history of infestations.

What should I do if bed bugs are discovered after the disclosure form is signed?

If bed bugs are discovered after signing, notify tenants in adjacent units as required by NYC regulations. Document the infestation, treatment plan, and tenant notifications. Maintain open communication about the situation and remediation efforts. This transparency helps maintain tenant trust while ensuring you remain compliant with ongoing disclosure requirements.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.