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Bedbug Annual Report Form
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Bedbug Annual Report Form (pdf file v10/2023)

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Description

Bedbug Annual Report Form (NYC Department of Housing Preservation and Development)

Requirement

  • Owners of residential buildings with 3 or more units must annually collect information from tenants regarding bedbug infestations.
  • A Bedbug Annual Report must be submitted to HPD, even if the building has no infestations.

Filing Process

  • Hard copy forms are allowed only for individual or joint owners.
  • All other owners must file online via HPD’s website.
  • Buildings must be registered with HPD to file the report.

Reporting Period & Deadline

  • Covers November of the previous year through October of the current year.
  • Reports must be filed between December 1 and December 31.
  • Failure to file by December 31 may result in violations.

Post-Filing Requirements

  • Owners must post or distribute the filed report to tenants.
  • Owners must also post or distribute the NYC Department of Health and Mental Hygiene (DOHMH) Bedbug Information Notice.

Form Sections

  1. Ownership Information: Identify the filer as an Individual Owner, Joint Owner, or Managing Agent.
  2. Infestation & Eradication Data:
    • Total units in the building.
    • Infested units during the reporting period.
    • Units where bedbugs were eradicated.
    • Units that were re-infested after treatment.
  3. Certification:
    • Confirm whether the report will be posted in a public location or distributed to tenants upon lease renewal.

Submission & Contact

  • Mailing Address: NYC HPD, Division of Code Enforcement, 100 Gold Street, New York, NY 10038.
  • Questions? Contact HPD at 212-863-7437 or email EnforcementDesk@hpd.nyc.gov.

 

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