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Forms & Applications

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Administrative Enforcement Unit (AEU)

AEU2: Certificate of Correction

Use this form to certify correction of an OATH/ECB Violation issued by the Department of Buildings. To submit a Certificate of Correction request, use an eFiling account to log into DOB NOW at www.nyc.gov/dobnow and select the BIS Options portal. See the April 2020 Service Notice or Certificate of Correction Request User Guide.

AEU20: Statement in Support of Certificate of Correction

Use this form when preparing the required statement(s) to accompany the Certificate of Correction (AEU2 Form)
AEU20 Form - Rev. 7/21

AEU3321: Certificate of Correction and Statement in Support of Site Safety Training

The AEU3321 form must be used to certify the correction of summonses issued for failing to comply with training requirements pursuant to BC Section 3321.1 and/or Section 3321.2.1. The form combines the AEU2 (Certificate of Correction) and the AEU20 (Statement in Support). The AEU2 and AEU20 forms will not be accepted for summonses related to the site safety training requirements.

NOTE: Please be sure to use the AEU3321 form with the Rev. 7/21 date.

AEU3321 Form - Rev. 7/21
AEU3321 Instructions

Get information on the following:

Amusement Rides

ELV11: Amusement Ride - Certificate of Competency

Use this form to apply for a Certificate of Competency.
ELV11 Form - Rev. 12/14

ELV17: Statement of Load Test for Passenger Carrying Amusement Device

Use this form to apply for a Statement of Load Test for Passenger Carrying Amusement Device.
ELV17 Form - Rev. 12/14

ELV18: Amusement Ride Inspection Checklist

Use this form as a Checklist for an Amusement Ride Inspection. Fill in amusement ride information and give this form to the inspector.
ELV18 Form - Rev. 2/04

ELV32: Amusement Ride Inspection Application

Use this form to register a list of amusement devices at every event.
ELV32 Form - Rev. 3/04

ELV33: Amusement Ride Owner Equipment Data Sheet

Use this form to register ownership of all amusement rides.
ELV33 Form - Rev. 2/04

Borough Forms

Borough Intake Form

The Borough Intake Form is used to submit manual applications to the Borough Office. The form improves tracking of submitted requests and allows the Department to send denial notifications electronically. The form must be submitted with the following applications: PW1 PAA, PW1 Withdrawal, PW2, PW6, and PW7.
Borough Intake Form - Rev. 8/22

Builders Pavement Plan (BPP)

BPP1: Checklist for Alt3 in Lieu of Plans

This is a checklist for Alt3 in lieu of plans. Submit this form as part of the Builders Pavement Plan application.
BPP1 Form - Rev. 11/04

BPP5: Authorization to the Department of Transportation

Use this form to give authorization to the Department of Transportation to issue a Construction Permit for the Builders Pavement Plan Work. Submit this form as part of the Builders Pavement Plan application.
BPP5 Form - Rev. 12/14

BPP8: Request items for Builders Pavement Plan Sign-off

Use this form to request a Builders Pavement Sign-off.
BPP8 Form - Rev. 10/03

BPP9: Request for Builders Pavement Field Inspection

Use this form to request a Builders Pavement Field Inspection. Submit this form as part of the Builders Pavement Plan application.
BPP9 Form - Rev. 10/03

BPP11: Affidavit as to Roadway Pavement and/or Sidewalk and Curb Construction

This form is required to obtain a signoff of a BPP application. It must be prepared by an architect or engineer.
BPP11 Form - Rev. 9/03

BPP15: Application for Waiver of Builders Pavement Requirements

Applicable to some jobs requiring waivers of all improvements or partial improvements. At pre-filing, an architect/engineer should file these forms with the AI-1 form for justification as part of the BPP application.
BPP15 Form - Rev. 8/04

BPP16: Application for Waiver of Curb Alignment and/or Sidewalk and Curb

Applicable to some jobs requiring waivers of all improvements or partial improvements. At pre-filing, an architect/engineer should file these forms with the AI-1 form for justification as part of the BPP application.
BPP16 Form - Rev. 8/04

Concrete Enforcement

CEU Inspection Request Form – Safety

Use this form to request a concrete safety inspection or re-inspection by the Concrete Enforcement Unit (CEU). This form can only be submitted by a: licensed design professional, registered General Contractor, or licensed Construction Superintendent. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. All supporting documents must be attached .Please submit the completed typewritten request form to CEU@buildings.nyc.gov and include the borough and address of the job in the subject line.
CEU Safety Inspection Request Form - Rev. 5/20

CEU Inspection Request Form – Structural

Use this form to request a concrete structural inspection or re-inspection by the Concrete Enforcement Unit (CEU). This form can only be submitted by a: licensed design professional, registered General Contractor, or licensed Construction Superintendent. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. All supporting documents must be attached .Please submit the completed typewritten request form to CEU@buildings.nyc.gov and include the borough and address of the job in the subject line.
CEU Structural Inspection Request Form - Rev. 5/20

Construction Safety Compliance (CSC)

Construction Safety Compliance Demolition Cover Sheet

All demolition applications must include the Construction Safety Compliance Demolition Cover Sheet as a separate file attachment.
CSC Demolition Cover Sheet - Rev. 1/19

CSC2A: Pre-Demolition Inspection Application

All demolition applications must be pre-filed prior to requesting a pre-demolition inspection from the Construction Safety Compliance Unit (CSC). CSC will only accept applications for Inspection Prior to Demolition (CSC2A) with the nine-digit BIS job number on the upper right-hand corner of the form.
CSC2A Form - Rev. 1/19

CSC4: Application for Recommendation for Mechanical Means Demolition

Complete and submit to CSC at time pre-demolition application is submitted in order to request a recommendation in favor of using mechanical means for demolition. (Borough Commissioner's approval still required after receiving CSC recommendation)
CSC4 Form - Rev. 1/19

Construction Safety Enforcement (CSE)

Construction Safety Enforcement Appointment Request

Use the Construction Safety Enforcement Appointment Request form to request an appointment for Stop Work Order Re-inspections, Partial Stop Work Order Re-inspections and DOB Violation Removals. Once completed send the form to cseappointments@buildings.nyc.gov.
CSE Appointment Request Form - Rev. 8/22

Cranes & Derricks

With the launch of DOB NOW: Build for Cranes, the following forms are now obsolete:

  • CD1: Crane/Derrick/Mobile Work Platform Prototype Application
  • CD1-OA: Crane/Derrick/Pile Driver Owner's Prototype Amendment Application
  • CD2: Crane/Derrick/Mobile Work Platform Approval & Operation Application/Certificate
  • CD3: Crane Approval & Operation Application/Certificate
  • CD11: Equipment Owner Identification
  • MC1: Mast Climber Prototype Application

NOTE: As of April 27, 2020, all Crane Prototypes (CPs) and Crane Device (CDs) filings (new, amendments, and renewals) must be submitted in DOB NOW.

CD4: Crane or Derrick Notice Application

Required to submit a Crane Notice (CN) application. Changes include: 1) Form title 2) Data field boxes 1, 6, 7, and 8.
CD4 Form

CD4-A: Crane or Derrick Notice Application Amendment

Replaces CD10 form for CN applications only. However, CD10 form still applies for amending CD2 and CD3 forms. To be used to submit any change made after the original application has been approved.
CD4-A Form

CD4-EQ: Designation of Multiple Equipment Users

To be used to designate multiple equipment users. If filed without a CD4, this is considered an amendment and amendment fees apply.
CD4-EQ Form

CD5: Suspended Scaffold Application

Formerly known as the Notification of Staging and Outrigger Beam Use by Special Riggers form.

This form is to be used for the installation of a 2-point suspension scaffold on outrigger beams. It must be submitted by a NYC Licensed Master Rigger or a Licensed Special Rigger.
CD5 Form

CD6: Crane/Derrick & Work Platform Plumbness & Torque Notification/Anchor Bolt Pull Out Test

To be used to notify the Cranes and Derricks division of the results of the mandatory work platform plumbness and torque test and anchor bolt pull test by a qualified professional.

NOTE: This form is only used on CNs filed prior to March 1, 2019.

CD6 Form

CD7: Notification of Erecting, Climbing, or Dismantling of a Climber, Tower Crane, or Derrick

To be used to notify the Department's Cranes & Derricks Unit before raising or lowering a climber, tower crane, or derrick Changes include: Derricks have been added as an additional equipment type requiring the submission of a CD7 form when applicable.

NOTE: The CD7 form and current notification procedures will remain in use regardless of whether the job is filed before or after March 1, 2019.

CD7 Form

CD8: Technical Report: Statement of Responsibility (OLD Form)

To be submitted with a Crane Notice (CN) application subject to an inspection by a NYS PE or RA under the provisions of Directive 14 of 1975 as applied to cranes and derricks.

NOTE: This form is only used on CNs filed prior to March 1, 2019.

CD8 Form - OLD Form

CD8: Technical Report: On-site Crane Inspections (NEW Form)

File this form after any Crane Notice (CN) inspection is completed. It is filed for every new phase or assembly, including tower crane jumps or climbs (up/down). It is also filed when one year has passed since the last CN inspection. Only the updated CD8 with the specified revision date of March 2019 in the bottom right corner will be accepted. View the form instructions.
CD8 Form - NEW Form

CD8-TR: Identification of Special Inspections

This form is filed in addition to a CD8 form when special inspections are required to be performed on structural elements that support the crane or derrick. It replaces the use of a CD8-TR form dated March 2019, which will no longer be accepted by Cranes and Derricks for new applications filed after April 22, 2024. The crane design applicant who filed the crane or derrick notice application for the job determines when and which special inspections are required in accordance with 1 RCNY 3319-01, NYC BC Chapter 17 and 1 RCNY 101-06. Special inspections shall only be performed by registered special inspection agencies, approved for the project by the crane design applicant. The crane design applicant may perform these special inspections only if the crane design applicant is a registered special inspection agency.
CD8-TR Form
CD8-TR instructions

CD8-AD: On-site Crane Pre-Operation Inspections

File this form for any assembly, phase or jump in which a crane or derrick requires an assembly/disassembly director. It documents unassembled and assembled inspection components such as serial numbers, material testing reports, tower crane mast section plumbness and bolt torque. The pre-operational load test is reported on the CD8-AD form, as well as specific inspections to be performed by the assembly/disassembly director. CD8-AD forms are not required for the setup or breakdown of a self-erecting tower crane, provided the setup does not require a boom, mast or other attachment to be installed at the site.
CD8-AD Form
CD8-AD instructions

CD10:Tower & Mobile Crane/Derrick/Mast Climber/Pile Driver Amendment

To be used to submit any change made after the original application has been entered.
CD10 Form

CD12: Designation of Primary Lift Director

This form was formerly used to add additional Crane Safety Coordinator to job. Now it will be used to designate the primary lift director. If filed without a CD4, this is considered an amendment and amendment fees apply.
CD12 Form

CD13: Class 'C' Hoisting Machine Operator License Examination

To be used by any person applying to take the test for the Hoist Machine Operator class C license. Call the Licensing Division for the additional forms to be completed.
CD13 Form

CD16: Cranes and Derricks Division Applicants Statement of Notification to Community Boards

To be completed as indicated and submitted to the respective Community Board for the job location.
CD16 Form

CD21: Request for Inspections (After Hours)

To be completed to request after hour Inspections.
CD21 Form

CD22: Annual, Assembled and Unassembled Cranes & Derricks Inspection Request

To request inspection for Assembled/Unassembled Cranes, Derricks, and Mobile Work Platforms.
CD22 Form

CD24: Contingency DOT Form/Letter

To be used to request authorization to proceed with Department of Transportation permitting process.
CD24 Form

CD25: On-Site Waiver

To be used to request an exemption from a Certificate of On-Site Inspection for equipment that satisfies the conditions listed in Exception #3 to 1 RCNY 3319-01(c)(1), such as a service crane, clamshell rig, pile driver or a crane meeting the requirements of a 48 hour exemption.
CD25 On-Site Waiver

Crane HMO B Rating Registration

To be used to credit experience obtained by operating crane(s) that fall into one of the listed Class B HMO ratings, on or before November 9, 2017. Complete and submit the scanned form to the Department's Licensing & Exams Unit at HMORatings@buildings.nyc.gov.
Crane HMO B Rating Registration

MC2: Mast Climber Device Application (NEW)

Mast climber owners must only submit the MC2 form in conjunction with also submitting the MC-3 form for an approved CN application, or it will not be accepted. All other past uses of this form which were specific only to the device must now be done in DOB NOW: Build. The MC2 should be submitted with supporting documentation, which must include a list of the mast's critical components, the owner's certification and a disclosure of the mast climber's history.
 MC2 Form - NEW Application

MC3: Installer and Remover 

The mast climber owner must submit the MC3 form to designate the party responsible for installing or removing a mast climber at a job site.
MC3 Form

MC4: Mast Climber Notice Application

The NYS-licensed engineer who prepared the mast-climber plans must submit the MC4 with the plans to notify the Department that a mast climber will be used. Changes include: Section 7 – Additional information.
MC4 Notice Application

MC5: Certificate of On-Site Inspection

The NYS-licensed engineer who prepared the mast-climber plans must submit the MC5 to sign off on a mast climber to be used in New York City. This application must be submitted with supporting documents and photos that demonstrate that the mast climber has passed all prior inspections before use.
MC5 Form

Easements & Restrictive Declarations

POC3: Professional and Owner Certification: Easement Agreement or Restrictive Declaration

The POC3 form is to be used when an easement or restrictive declaration is filed in connection with a professionally certified application. The professional must sign the POC3 form, which will contain either the professional's certification: 1) that the easement or declaration materially conforms to the Department's approved form, or 2) that the easement or declaration has been reviewed and accepted by the General Counsel's Office.
POC3 Form - Rev. 12/08

Sample Easement and Restrictive Declaration Forms

Memorandum detailing the use of alternate means (easements and restrictive declarations) of compliance to statutory restrictions. For more details, please see:

Electrical Forms

Online Electrical Appointment Request 

Electrical appointments can no longer be requested via the Online Electrical Appointment Request Form. Please visit the DOB NOW: Inspections for more information.

Electrical Permit Application

Electrical permit applications (ED16A filings) must be submitted through DOB NOW: Build. Electrical job filings that require submission to the Electrical Advisory Board will still be processed at the Electrical Advisory Board at 1 Centre, 23rd Floor, Room 2337.

BEC43: Electrical Self-Certification Affidavit

Use this form self-certify an 'A' violation. 'A' violations are issued on jobs that are completed and have been inspected and violations have been issued to the contractor.
BEC43 Form - Rev. 9/10

ED65: Application for Electrical Material and Equipment Approval

Use this form to apply for electrical material and equipment approval.
ED65 Form - Rev. 10/05

ED71: Electrical Division Certificate of Occupancy Signoff Request

Use this form to request for a Certificate of Occupancy Signoff. This form must be filed by a Licensed Electrician and submitted to the Electrical Division.
ED71 Form - Rev. 4/05

ED75: Open Electrical Violation – Request for Removal

Use this form to remove Open Electrical Violations.
ED75 Form - Rev. 8/07
ED75 Instructions

ED76: Electrical Code Interpretation Request 

Submit this form to the Electrical Code Revision and Interpretation Committee (ECRIC) to request an interpretation and/or clarification of Electrical Code Technical Standards. The form should be submitted two weeks before the ECRIC meeting order to be considered.
ED76 Form - Rev. 2/09

LIC37: Electrical Firm Account Request for Cancellation/Adjustment

Use this form to request an Electrical Firm Account statement adjustment.
LIC37 Form - Rev. 8/05
LIC37 Instructions

OP106: Waiver, Reduction, and Dismissal Request Cover Sheet

Use this form to request a waiver or reduction of civil penalties, or a dismissal associated with Local Law (LL) 62/91, 10/81, 11/98, PVT (DOB) Elevator Violation, or Electrical Violation
OP106 Form - Rev. 7/05
OP106 Supporting Documentation Requirements

Elevator

LIC2-EL: Elevator License Application

Use this form to apply for or make changes to an Elevator Agency Technician/Restricted Elevator Agency Technician license or Elevator Agency Helper registration.
LIC2-EL - Rev. 11/21

Elevator Worker Attestation 

Elevator Directors must complete this form to attest to the fact that an applicant for an Elevator Agency Technician/Restricted Elevator Agency Technician or Elevator Agency Helper is qualified and is under their direct and continuing supervision.
Elevator Worker Attestation Form - Rev. 11/21

Elevator Application

All new Elevator Application filings must be submitted through DOB NOW: Build. All ELV1 job filings with a current BIS job number will continue to be processed through the Elevator Unit.

The ELV1 Form can only be used for permit renewals, reinstatements, and withdrawals for filings with a current BIS job number.
ELV1 Form - Rev. 6/16
ELV1 Instructions

ELV1A: Amusement Ride Application

Use this form as a supplement to the ELV1. You must submit it when installing, replacing, modifying or modernizing a permanent amusement ride.
ELV1A Form - Rev. 1/09
ELV1A Instructions

ELV3: Elevator Inspection/Test Report

All new Elevator Inspection/Test Reports must be submitted through DOB NOW: Safety.

ELV14: Index Sheet

Use this form to list all of the elevator forms being submitted along with your elevator application.
Download Form - Rev. 4/13

ELV15: Affidavit of Professional Certification

Use this form to certify (a) the elevator application or building notice is complete and in compliance with all applicable provisions of law or rules; and (b) whether or not the application is being filed to legalize an existing condition.
ELV15 Form - Rev. 12/14

ELV21: ELV21: Temporary Use Permit Renewal Application

Use this form to request a Temporary Use Permit Renewal.
ELV21 Form - Rev. 1/24

ELV22: Pre-Clearance Inspection/Test Request

Use this form to request a pre-clearance (expedited test) inspection from the Elevator Division.
ELV22 Form - Rev. 4/16

ELV29: Affirmation of Correction

All new Affirmations of Correction must be submitted through DOB NOW: Safety. Only PVT companies can continue to use the paper ELV29 form.
ELV29 Form - Rev. 6/16
ELV29 Instructions

ELV36: Elevator/Escalator Test Notification Form

As of September 17, 2018, Elevator/Escalator Test Notifications must be submitted through DOB NOW: Safety.

Elevator Periodic Inspection Checklist

Use this checklist to perform the required periodic inspection of an elevator.
Elevator Periodic Inspection Checklist - Rev. 5/22

Escalator Periodic Inspection Checklist

Use this checklist to perform the required periodic inspection of an escalator.
Escalator Periodic Inspection Checklist - Rev. 5/22

B Form 10: Elevator Amendment

Submit this form with the ELV1 form for previously filed paper filings only. All new requests must be submitted in DOB NOW: Build.
B Form 10 Form - Rev. 6/09
B Form 10 Instructions

EBI1: Elevator Batch Intake (PVT only)

Use the Elevator Batch Intake (EBI-1) Form when processing 5 or more of the following:

ECP: Elevator Cashier Civil Penalty

Effective June 17, 2020, Elevator Violation Searches and Payments must be conducted online in DOB NOW: Safety. See the June 2020 Service Notice for more information.

EWP: Elevator Waiver of Civil Penalties 

Effective June 17, 2020, Elevator Violation Searches and Payments must be conducted online in DOB NOW: Safety. See the June 2020 Service Notice for more information.

AI1: Additional Information

Multipurpose form for applicants to provide additional information on jobs.
AI1 Form - Rev. 3/09

Façade

NOTE: Please read the Façade Inspection & Safety Program (FISP) Filing Instructions information before uploading the report in DOB NOW: Safety.

FISP1 and FISP2: Time Request

All FISP1 (Initial Extension of Time Request) and FISP2 (Additional Extension of Time Request) time requests must be submitted electronically through DOB NOW: Safety.

FISP3: Notification of Unsafe Conditions

All FISP3 (Notification of Unsafe Conditions) must be submitted electronically through DOB NOW: Safety. For any hazardous conditions please first call 311 or 911.

FCP: Facades Cashier Civil Penalty

Use this form to submit civil penalties owed for Cycle 5 or earlier. For Cycle 6 or later, pay civil penalties in DOB NOW: Safety. See the June 2021 Service Notice for more information.
FCP Form - Rev. 2/15

FWP: Facades Waiver of Penalties

Use this form to request a waiver of façade civil penalties for Cycle 5 or earlier. For Cycle 6 or later, submit the waiver request in DOB NOW: Safety. See the June 2021 Service Notice for more information.
FWP Form - Rev. 2/15

TR6 Technical Report: Periodic Inspection of Exterior Walls & Appurtenances

The TR6 Report is a required compliance filing that must be completed in DOB NOW: Safety. You must be registered in eFiling to log into DOB NOW: Safety. Register in eFiling. The report must be accompanied by the Engineer and/or Architect's report.
TR6 Report - Log into DOB NOW: Safety to complete

Inspection Request Forms

Construction Safety Compliance

Construction Safety Compliance Appointment Request

Complete a Construction Safety Compliance Appointment Request Form and submit it to cscuappointments@buildings.nyc.gov for the following requests:

  • Pre-Demolition Inspection
  • Demolition Sign-off
  • Suspended Scaffold Pre-Use Inspection

CSC Appointment Request Form - Rev. 7/22

Construction Safety Enforcement

Construction Safety Enforcement Appointment Request

Use the Construction Safety Enforcement Appointment Request form to request an appointment for Stop Work Order Re-inspections, Partial Stop Work Order Re-inspections and DOB Violation Removals. Once completed send the form to cseappointments@buildings.nyc.gov.
CSE Appointment Request Form - Rev. 9/18

Enforcement Inspections 

Enforcement Inspections Appointment Request

Use this form to request an inspection or re-inspection of a Stop Work Order or Complaint (LS-4) by the Construction Enforcement Unit in the borough where the building is located. The form must be typewritten, filled out correctly and have all supporting documentation attached prior to submission. Incorrectly filled forms will be rejected.

  • Bronx: BXConstENF@buildings.nyc.gov
  • Brooklyn: BKConstENF@buildings.nyc.gov
  • Manhattan: MNConstENF@buildings.nyc.gov
  • Queens: QNConstENF@buildings.nyc.gov
  • Staten Island: SIConstEnf@buildings.nyc.gov

Enforcement Inspections Appointment Request Form - Rev. 11/22

Vacate Order Rescission Request

Use this form to request dismissal of a full or partial vacate order. The form must be typewritten, filled out correctly and have all supporting documentation attached prior to submission. Incorrectly filled forms will be rejected. The request must be submitted to the issuing unit:

  • Executive Inspections: Executiveinspections@buildings.nyc.gov
  • Plumbing Enforcement: plumbingenfir@buildings.nyc.gov
  • Quality of Life: QofLEnf@buildings.nyc.gov
  • Special Operations: SpecialOperations@buildings.nyc.gov

For Vacate Orders issued by the Construction Enforcement unit or by the Emergency Response Team, submit the form to the Borough Construction Enforcement unit in the borough where the property is located:

  • Bronx: BXConstENF@buildings.nyc.gov
  • Brooklyn: BKConstENF@buildings.nyc.gov
  • Manhattan: MNConstENF@buildings.nyc.gov
  • Queens: QNConstENF@buildings.nyc.gov
  • Staten Island: SIConstEnf@buildings.nyc.gov

Vacate Order Rescission Request Form - Rev. 11/22

Violation Dismissal Request

Use this form to request dismissal of one or more active DOB Violations and/or Unsafe Building (UB) Violations. The form must be typewritten, filled out correctly and have all supporting documentation attached prior to submission. Incorrectly filled forms will be rejected. The request must be submitted to the issuing unit:

  • Executive Inspections: Executiveinspections@buildings.nyc.gov
  • Plumbing Enforcement: plumbingenfir@buildings.nyc.gov
  • Quality of Life: QofLEnf@buildings.nyc.gov
  • Special Operations: SpecialOperations@buildings.nyc.gov

For DOB or UB Violations issued by the Construction Enforcement unit or by the Emergency Response Team, submit the form to the Construction Enforcement unit in the borough where the property is located:

  • Bronx: BXConstENF@buildings.nyc.gov
  • Brooklyn: BKConstENF@buildings.nyc.gov
  • Manhattan: MNConstENF@buildings.nyc.gov
  • Queens: QNConstENF@buildings.nyc.gov
  • Staten Island: SIConstEnf@buildings.nyc.gov

Violation Dismissal Request Form - Rev. 11/22

Online Boiler Appointment Request

Boiler appointment can no longer be requested via the Boiler Appointment Request Form. Please visit DOB NOW: Inspections for more information.

Online Electrical Appointment Request

Electrical appointments can no longer be requested via the Online Electrical Appointment Request Form. Please visit DOB NOW: Inspections for more information.

Online Elevator Appointment Request

Log into DOB NOW: Inspections to schedule an elevator appointment.

Online Construction Appointment Request

Construction appointments can no longer be requested via the Online Construction Appointment Request Form. Please visit DOB NOW: Inspections for more information.

HRT-1: High Rise Initiative Program Request

Used by public to request participation in the High-Rise Initiative program, available to New Building and Alteration 1 Enlargement high rise projects. Request Form will be reviewed. If the applicant is eligible to join the program, a 1-hour appointment will be scheduled. Please review the Administrative Items Check List and the Drawing Submission Guideline for the list of documents the applicant must provide during the meeting.
HRT1 Form- Rev. 4/07
HRT1 Administrative Items Check List - Rev. 2/08
HRT1 Drawing Submission Guideline - Rev. 12/14

Licensing

The Department provides Fill-in and Electronic Form Submissions for your convenience. These forms are not to be altered or changed in any way. Persons that are suspected of altering any forms and submitting them to DOB will be reported to the proper authorities. See Licensing Forms.

Notification

Crane Notification

Use the online Crane Notification Form to notify the Department of certain crane or derrick activities in accordance with Local Law 77 of 2017 and 1RCNY Section 3319-01(c)(5).

Injury/Fatality Incident Information

Use the online Injury/Fatality Incident Information Form to notify the Department of Buildings about any site incident that resulted in a fatality or injury to a construction worker or member of the public within three (3) business days.

In order to comply with Local Law 78 of 2017, the property owner, contractor, subcontractor, or person otherwise in control of a construction site must use the Injury/Fatality Incident Information form to report details of the incident within three business days to the Department.

Raising or Moving a Building Notification

Please use the Raising or Moving a Building Notification Form to notify the Department of Buildings of work related to raising or moving a building to comply with the recently updated Flood Resistant Construction requirements of the NYC Construction Codes, Appendix G.

In order to comply with AC 28-116.2.3.2 of the Administrative Code, the building permit holder must notify the Department of Buildings using this form at least 48 hours prior to starting any work related to raising or moving a building, which is subject to Special Inspection.

Permit holders can also notify the Department of Buildings of work related to raising or moving of a building by contacting the Department of Buildings Call Center at (212) 393-2550.

SCBP: Notification of Unsafe Conditions

The SCBP: Notification of Unsafe Conditions form is used to alert the Department of any unsafe conditions related to buildings or structures. Subsequent to this notification, per Article 217 of the 2014 Building Code, a TR15 and accompanying inspection report is required to be submitted to the Department. For any hazardous conditions please first call 311 or 911.

Owner Notification of Start of Work

Use the Owner Notification of Start of Work Form to notify the Department of Buildings at least 72 hours before starting an alteration of a building in which any dwelling unit will be occupied during construction.

To comply with Building Code 3303.10.2, the owner of a building must notify the Department at least 72 hours before starting any work requiring a Tenant Protection Plan. In order to comply with §28-103.27.2 of the New York City Administrative Code, the owner of an occupied multiple dwelling with a permit for the alteration of 10 per cent or more of the existing floor surface area of the occupied multiple dwelling or an addition to the occupied multiple dwelling must notify the Department at least 72 hours before starting any work pursuant to the permit.

In addition, owners must post and distribute a notice regarding Tenant Protection Plan for occupants. The notice must be distributed to each occupied dwelling unit and posted in the lobby and

  • on each floor within ten feet of the elevator; or
  • if the building does not have an elevator, within ten feet of or in the main stairwell on each floor.

Local Law 159 requires Owners to post or distribute a Safe Construction Bill of Rights. HPD has created a form for Owners to post or distribute that is available on their website.

Office of Technical Certification and Research (OTCR)

OTCR 1 Alternative Material Acceptance Criteria Application

Use this form to initiate review of existing standards and/or evaluation criteria for products categorized as alternative to the code.
OTCR 1 Form - Rev. 12/14
OTCR 1 Instructions

OTCR2 Site-Specific and Electrical Equipment Application

Use this form initiate the process of filing for a site-specific evaluation or an electrical equipment evaluation. Complete the OTCR3 when a site-specific evaluation requires a testing laboratory to submit test data.
OTCR 2 Form - Rev. 7/19

OTCR3 Testing Laboratory or Professional Engineer Statement

Use this form to document required testing for the review of site-specific approval.
OTCR 3 Form - Rev. 9/08
OTCR 3 Instructions

Office of the Tenant Advocate (OTA)

OTA Complaint Form

If you have concerns about active construction in the building you live in, please use this form to reach out to the DOB Office of the Tenant Advocate.
OTA Complaint Form

Padlocks

PE5A: Rescission of Order of Closure

To have an Order of Closure rescinded, remove the illegal business. The owner, mortgagee or person having an interest must fill-out the Rescission of Order of Closure (PE5A) Form and submit a completed and notarized Form to the Padlock Unit. The Department will lift the Order once the property passes an inspection.
PE5A Form - Rev. 2/15

PE7: Request for Access to Premises

Anyone illegally entering a padlocked property can face criminal charges. The Department grants access to owners, occupants or others to correct the conditions. To request access, submit a completed and notarized Request for Access to Premises (PE7) form to the Padlock Unit.
PE7 Form - Rev. 12/14
PE7 Instructions
PE7 Inspection Request Form
PE7 Re-Inspection Request Form

Certify Correction

You must correct the violating condition and certify correction with the Department. To certify correction, submit:

  • an original Certificate of Correction (AEU2 Form);
  • proof of correction, such as photographs and receipts;
  • a notarized statement attesting to how the violation was corrected.

You can submit a Certificate of Correction once the violating condition is corrected. The hearing and certification processes are separate. To submit a Certificate of Correction request, use an eFiling account to log into DOB NOW at www.nyc.gov/dobnow and select the BIS Options portal. See the Certificate of Correction Request User Guide.

Plan/Work & Permits Forms

PW1: Plan/Work Approval Application

The PW1 is the first document filed with the Department to begin the application process.
PW1 Form - Rev. 11/22
File PW1 Electronically
PW1 User Guide
PW1 Fee Equity Frequently Asked Questions

PD1: Plot Diagram

The PD1 form allows the Department to collect plot diagram information in a uniform way for all applications. When a plot diagram is required, it is must be completed and submitted at time of Pre-Filing.
PD1 Form - Rev. 12/14
PD1 Instructions

ZD1: Zoning Diagram

The ZD1 is an 11"x17" title block for drawing that graphically summarizes the proposed zoning bulk, yards and street plantings. The ZD1 includes diagrams for site plans and other projections (3D or Axonometric as required) describing vertical dimensions. It will be required prior to approval with all initial filings for New Building and Alteration Enlargement applications. All applicable Post Approval Amendments (PAAs) will also require the ZD1.
ZD1 Form - Rev. 7/09
ZD1 Guide

ZRD2: Zoning Challenge & Appeal

Members of the public use this form to submit a public zoning challenge.
ZRD2 Form - Rev. 6/09

PW1A Schedule A: Occupancy/Use

Provides supplemental occupancy/use information to PW1. For jobs filed prior to December 31, 2014 download the old 2008 Form.
PW1A Form - Rev. 12/22
PW1A Instructions

PW1B Schedule B: Plumbing/Sprinkler/Standpipe

Provides supplemental information involving plumbing, sprinkler and standpipe systems.
PW1B Form - Rev. 12/14
PW1B Instructions

PW1C Schedule C: Heating and Combustion Equipment

Provides supplemental information involving heating and combustion equipment.
PW1C Form - Rev. 9/16
PW1C Instructions

PW2: Work Permit Application

Filed (with authorization of owner) by contractor or licensee in order to obtain a permit to perform work.
PW2 Form - Rev. 11/22
File PW2 Electronically
PW2 Instructions

PGL1: Project Specific General Liability Insurance Summary and Affirmation

To create a PGL1 form for submission, use the DOB Tool. Learn more about Project Specific General Liability Insurance Requirements.

PW3: Cost Affidavit

Must be filed to certify estimated and actual costs, in order to obtain a work permit. View information on PW3 Requirements, the Fee Structure & List of Applications Requiring a PW3 as well as information on New Building Related/In-conjunction Filings.
PW3 Form - Rev. 12/14
PW3 Instructions

PW4 Equipment Use Application/Permit

To be filed for all equipment specified in §28-116.4.1 of the Building Code of the City of New York.
PW4 Form - Rev. 7/23
PW4 Instructions

PW5: After-Hour Work Permit Application

To be filed by applicant requesting a permit to engage in construction activities at any time other than on weekdays between the hours of 7:00 AM and 6:00 PM.
PW5 Form - Rev. 5/17
File PW5 Electronically
PW5 Instructions

PW6: Certificate of Occupancy Application

This form shall be filed in order to initiate inspections required prior to issuance of a Certificate of Occupancy. The applicant (Professional Engineer, Registered Architect or Superintendent of Construction) shall complete the Statement of Compliance in accordance with section 27-221 of the Building Code of the City of New York.
PW6 Form - Rev. 4/11
PW6 Instructions

PW7: Letter of Completion Request

This form is required for BIS A2/A3 submissions requesting a Letter of Completion only.
PW7 Form - Rev. 11/22

CCD1: Construction Code Determination

Electrical Special Permission requests are submitted using the CCD1 process. All other requests are submitted in DOB NOW. See the Determinations page for more information.
CCD1 Form - Rev. 1/23
CCD1 Instructions

ADM-73: Supplemental Records Request

Submit this request with two (2) forms of valid identification to IADMailbox@buildings.nyc.gov. If you are unable to scan and email documents, please mail legible copies to:

NYC Department of Buildings
Office of Internal Audits & Discipline
c/o Sensitive Buildings
11 Park Place, Suite 201
NY, NY 10007

Please direct questions to the Office of Internal Audits & Discipline at (212) 442-2000.

ADM-73 Form - Rev. 8/23

AI1 Additional Information

Multipurpose form for applicants to provide additional information on jobs. Do not use this form for any Determination requests. Instead, use the Determination request forms (ZRD1 and CCD1).

AO1: Administrative Objections

This form will be used to capture the reasons why an application could not be processed prior to approval. This new form will accommodate B-SCAN so the applicant will be able to view the disapproval reasons online.
AO1 Form - Rev. 12/14

Certificate of Occupancy Worksheet

This form is required for occupancy requests for BIS and DOB NOW jobs. The worksheet must be completed in order to obtain a final Certificate of Occupancy, Core & Shell, Initial Temporary Certificate of Occupancy or renewal of a Temporary Certificate of Occupancy with Change in DOB NOW.
Certificate of Occupancy Worksheet  - Rev.10/22
Template - Affidavit of Installation and Testing for Smoke and Carbon Monoxide Alarms  - Rev. 7/22

DS1: Demolition Submittal Certification

For BIS jobs only, must be submitted by the professional preparing demolition submittal plans – required prior to permit when performing full or partial demolition work as per BC 3306.5. This certification form must be submitted together with the plans. For DOB NOW jobs, the questions from the DS1 form are included in the Scope of Work section for Structural (ST) filings when partial demolition is selected. Plans for partial demolition that are not prepared by the Applicant of Record should be uploaded to the DOB NOW filing under Additional Supporting Documents.
DS1 Form - Rev. 12/14
DS1 Instructions

MDL1: Registration of Dwelling Units for Other than Permanent Residence Purposes

Use this form to register Class A multiple dwelling units within dwellings currently operating as hotels for other than a permanent residence purposes. This form and the supporting documentation must be submitted to and processed by the Department by January 12, 2011. View Service Notice.
MDL1 Form - Rev. 2/11
MDL1 Instructions

OP96: Builder Certification for Temporary Certificate of Occupancy

Used by developer when seeking Temporary Certificate of Occupancy for a 1, 2 or 3 family dwelling to certify that escrow funds will be deposited on behalf of homeowner to ensure completion of the dwelling.
OP96 Form - Rev. 9/05

OP97: Escrow Agent/Attorney Letter

Used by escrow agent for developer seeking Temporary Certificate of Occupancy for a 1, 2 or 3 family dwelling to certify that escrow funds were or will be deposited on behalf of homeowner to ensure completion of the dwelling.
OP97 Form - Rev. 8/05

PA1: Place of Assembly Application

Must be filed (with plans) to obtain approval for a new Place of Assembly space. Must be filed (with plans, if applicable) to obtain approval for all changes to a Place of Assembly space (including change of owner/lessee or name of establishment).
PA1 Form - Rev. 6/15
PA1 Instructions

B Form: 10H Manufacturer's Statement

Required prior to permit if the application proposes the installation of structural masonry.
B Form 10H Form - Rev. 7/08

B Form 10J: Supplier's Statement

Submit prior to signoff if the work included the installation of structural masonry.
B Form 10J Form - Rev. 4/04

B Form 20SS: Preliminary Affidavit by Fabricator/Erector

Submit prior to permit if the application proposes the use of structural steel.
B Form 20SS Form - Rev. 4/04

B Form 24SS: Final Certification by Fabricator/Erector

Submit prior to signoff if the work included the installation of structural steel.
B Form 24SS Form - Rev. 4/04

DPL-1 Form: Design Professional/Licensee Form Seal and Signature Form for DOB NOW

Used in DOB NOW by Design Professionals and Licensees with seals in order to complete a filing submission.
DPL-1 Form - Rev. 11/18

ER1: Emergency Response Agencies C/O Notification Affidavit (Prior to C/O or Sign-off)

Notification Affidavit to certify that applicant has provided a site plan to the Emergency Response Agencies (NYPD, FDNY, EMS, and Department of City Planning).
ER1 Form - Rev. 3/02

ER2: Emergency Response Agencies C/O Notification Affidavit (Prior to Approval)

Notification Affidavit to certify that applicant has provided a site plan to the Emergency Response Agencies (NYPD, FDNY, EMS, and Department of City Planning).
ER2 Form - Rev. 3/02

HC4: Sewer Self Certification House Connection Proposal

To propose new and existing sewer connection for 1, 2 and 3 family dwellings without commercial use.
Download Form - Rev. 10/06
Download Instructions

HC7: Sewer Self Certification Site Connection Proposal

To propose sewer site connection by providing all calculations, plans and pertinent information pertaining to the disposal of all storm and sanitary discharge.
HC7 Form - Rev. 10/06
HC7 Instructions

HIC1: Home Improvement Contractor Affidavit

To request for waiver of license requirement for obtaining a permit when filing for an Alteration 1, 2, and 3 applications for 1, 2, 3 or 4 family homes, co-op units, condo units or rented apartment units.
HIC1 Form - Rev. 9/07

HPD1: Anti-Harassment Area Checklist

This form shall be filed to satisfy the Anti-Harassment Area Checklist required item. The form indicates certification with or exemption from anti-harassment provisions in Hudson Yards, West Chelsea, Garment Center (P2) and Greenpoint-Williamsburg.
HPD1 Form - Rev. 9/21
HPD1 Instructions

HPD2: Clinton Special District Anti-Harassment Checklist

This form shall be filed to satisfy the Clinton Special District Anti-Harassment Area Checklist required item. The form indicates certification with or exemption from anti-harassment provisions in Hudson Clinton Special District.
HPD2 Form - Rev. 9/21
HPD2 Instructions

HPD3: Single Room Occupancy Multiple Dwelling (SRO MD) Anti-Harassment Checklist Replacing SRO1 SRO Intake

This form is required for all alternations or demolitions of buildings identified as single room occupancy multiple dwellings except for Alteration 3 applications for sheds, fences or curb cuts. This form assists the applicant in determining whether a certification of no harassment from the Department of Housing Preservation and Development is required to be submitted.
HPD3 Form - Rev. 12/21

HPD4: CONH Pilot Program Building Anti-Harassment Checklist

This form must be submitted for all filings on Department of Housing Preservation and Development Pilot Program buildings.
HPD4 Form - Rev. 9/21

HRT1: High-Rise Initiative – Program Request

Used by public to request participation in the High-Rise Initiative program, available to New Building and Alteration 1 Enlargement high rise projects. Request form will be reviewed. If the applicant is eligible to join the program, a 1-hour appointment will be scheduled. Please review the Administrative Items Check List and the Drawing Submission Guideline for the list of documents the applicant has to provide during the meeting.
HRT1 Form - Rev. 4/13
HRT1 Administrative Items Check List
HRT1 Drawing Submission Guideline

L2: Requests for Overrides, Reductions, or Waivers of Civil Penalties for Work Without a Permit and Stop Work Order Violations

This form must be completed by the owner, or authorized designee, of the subject premises in order to request an override, reduction, or waiver of civil penalties for work without a permit or stop work order violations. Requests for reductions in civil penalty must be accompanied by at least four (4) photos of the area.
L2 Form - Rev. 2/25
L2 Instructions

Letter of No Objection (LNO) or Letter of Verification (LOV) Application

A Letter of No Objection (LNO) may be issued if no CO is available, or if the building (or part of the building) has a different use than that listed on the CO or noted in the available records. A LNO may be issued if the proposed/actual use belongs to the same Use Group (UG) as defined by the Zoning Resolution and the same Occupancy Group (OG) as defined by the 2008 Building Code and the occupancy load and egress is substantially unchanged.
LNO/LOV Form - Rev. 7/24

Local Law 92/94 of 2019 Sustainable Roof Zone

Use this form to certify compliance with the sustainable roofing zone requirements of Local Law 92 and Local Law 94 of 2019.
Sustainable Roof Zone Form - Rev. 11/19

Local Law 104 of 2019 Request for Exception to Permit Restriction

Use this form to obtain a permit in BIS on a building flagged with LL114/19 Permit Restriction.
Download Form - Rev. 3/21
View Service Notice

Local Law 114 of 2019 Request for Exception to Permit Denial

Use this form to obtain a permit in BIS on a building flagged with LL114/19 Permit Restriction.
Download Form - Rev. 7/20
View Service Notice

OP133: Property Profile Change Request

The OP133 allows an applicant to request a review for the removal of the NYS Department of Environmental Conservation (DEC) Wetlands flag(s) on the BISweb Property Profile Overview. The form must be completed by a registered design professional or a licensed land surveyor and must contain a copy of the applicable NYS DEC Wetlands map(s) annotated to clearly identify the subject premises and demonstrate that the entire tax lot is outside any mapped zone or associated adjacent area.
OP133 Form - Rev. 7/09
OP133 Instructions

Open Application Cover Letter

Request for Certificate of Occupancy under Open Applications Pilot Program in Manhattan.
Open Application Cover Letter

PC1: Required Items Checklist

Used by applicants to file professionally certified applications.
PC1 Form - Rev. 6/16

PEO1: Local Law 58 of 1987 Accessibility Waiver Request

Request for Waiver of Local Law 58 of 1987. Basis of waiver as per Section 27-292.6 of the Building Code.
PEO1 Form - Rev. 1/15
PEO1 Instructions

PEO4: Local Law 5 of 1973 Informational Checklist

This checklist is to be used as an aid to the owner. The owner is responsible for full compliance with Local Law 5 of 1973.
PEO4 Form - Rev. 7/03

PER11: Appointment and Drop Off Request 

Used by public to request for Appointment and Drop Off.
PER11 Form - Rev. 9/17

PER12: SEP Form: Professional Certification Audits and Inspections Appointment Request

Used by public to request an appointment with the Special Enforcement Program (SEP).
PER12 Form - Rev. 6/14

PER20: Request for Certificate of Occupancy with Open Application(s) Cover Letter

This form is intended to summarize the supporting documentation behind it. When a person is seeking a Project Advocate's help, many documents are supplied. This is a Cover Sheet, that only some of the boroughs prefer, and it would be OPTIONAL.
PER20 Form - Rev. 8/22

POC1: Professional and Owner Certification

Used by applicants to file with Plan/Work Approval Application.
POC1 Form - Rev. 1/04

POC3: Professional and Owner Certification: Easement Agreement or Restrictive Declaration

The POC3 form is to be used when an easement or restrictive declaration is filed in connection with a professionally certified application. The professional must sign the POC3 form, which will contain either the professional's certification: 1) that the easement or declaration materially conforms to the Department's approved form, or 2) that the easement or declaration has been reviewed and accepted by the General Counsel's Office.
POC3 Form - Rev. 12/14

Project Advocate Service Request

To request an appointment with a Project Advocate, please complete and submit the Project Advocate Service Request Form with all essential project information and submit to the respective Borough office.
Project Advocate Request Form - Rev. 8/19

Property Ownership Certification

Upload this form in DOB NOW: Build on the Documents tab of the Plans/Work (PW1) application. The document is required prior to approval.
Property Ownership Certification Form - Rev. 5/21
Supplemental Property Ownership Certification Form – Rev. 5/21

RF1: Refund Request Application

Use this application to claim a refund for the amount paid to the NYC Department of Buildings. Please see instructions for additional information and the required documentation that must accompany the application.
RF1 Form - Rev. 3/24
RF1 Instructions

ST1: Street Tree Checklist

The checklist must be submitted prior to job approval to satisfy the Street Tree Checklist required item which will automatically apply to NB, A1 and A2 (enlargement) applications. The checklist shows compliance with or exemption from street tree zoning requirements and must be signed and sealed by the Applicant of Record.
ST1 Form - Rev. 4/24
ST1 Instructions

Plumbing

LAA1: Limited Alteration Application (Plumbing/Oil Burning/Fire Suppression Alterations)

Use this form for certain minor plumbing and oil burner installations/repairs or sprinkler and standpipe work.
LAA1 Form - Rev. 9/16
LAA1 Instructions

OP98

Note: Combined former OP38 and OP39 forms
Use this form to indicate the date and time of inspection/tests.
OP98 Form - Rev. 1/10
OP98 Instructions

OP128: Ordinary Plumbing Work Report

Use this form to submit up to 20 jobs, on-going or completed the previous calendar month, in accordance with §28-105.4.4
OP128 Form & Instructions - Rev. 11/23
OP128 Fact Sheet

OP129: Report on Testing of Secondary Backflow Prevention Device

Use this form to report the test that is required on all Internal (secondary) Backflow devices. Secondary devices are RPZs or Backflows used for cooling towers, boilers, medical equipment, etc. These secondary backflow devices are recorded by DOB not DEP. The LMP completes sections one (1) and three (3) and the certified tester completes section two (2). No P.E. or R.A. is necessary on this form. The form dated 4/24 is an updated version of the previous form dated 12/14. The 12/14 version is acceptable but will no longer be available on DOB’s website.  
OP129 Form - Rev. 4/24

B Form FP10: Dry Pipe Valve Tests

Use this form to indicate the work installed.
B Form FP10 Form - Rev. 6/03

B Form FP84: Standpipe Inspection

Use this form to indicate the work installed.
B Form FP84 Form - Rev. 6/03

B Form FP85: Sprinkler Inspection Report

Use this form to indicate the work installed.
B Form FP85 Form - Rev. 6/03

B Form FP86: Standpipe Fire Pump Test

Use this form to indicate the work installed.
B Form FP86 Form - Rev. 6/03

Certification of Compliance with Color Coding

Use this form to certify that all exposed standpipe and sprinkler components have been painted in accordance with Local Law 58 of 2009. Learn more.
Certification of Compliance with Color Coding Form - Rev. 4/10

Fire Pump Field Acceptance Test Form A: Flow Test

Use this form for Fire Pump Test ONLY
Fire Pump Test Form A - Rev. 3/25
Instructions

Fire Pump Field & Standpipe System Acceptance Test Form B: Flow Test

Use this form for Fire Pumps serving Standpipe or Combined Standpipe and Sprinkler System
Fire Pump Field & Standpipe System Test Form B - Rev. 3/25
Instructions

GPS1: Gas Piping System Periodic Inspection Report

Use this form to indicate the results of periodic inspections of gas piping systems in accordance with Local Law 152 of 2016, AC §28-318, and 1 RCNY §103-10. The inspecting Licensed Master Plumber must submit this Inspection Report form to the building owner (not the Department).
GPS1 Form - Rev. 3/21

GPS2: Gas Piping System Periodic Inspection Certification

Use this form to (1) certify that a building contains no gas piping system; (2) certify completed periodic inspections of gas piping systems; and (3) certify correction of conditions identified in Gas Piping System Periodic Inspection Reports in accordance with Local Law 152 of 2016, §28-318, and 1 RCNY §103-10.
GPS2 Form - Rev. 2/22

GPS2 Certification Submission Portal

Use this portal to submit Gas Piping System Periodic Inspection Certifications in accordance with Local Law 152 of 2016.
GPS2 Certification Submission Portal

Retaining Wall

RWIP1: Initial Extension of Time Request

Use this form to request an initial time extension for completing repairs of an unsafe retaining wall.
RWIP1 Form - Rev. 5/15

RWIP2: Additional Extension of Time Request

Use this form to request an additional time extension for completing repairs of an unsafe retaining wall.
RWIP2 Form - Rev. 5/15

RWIP3: Notification of Unsafe Conditions

Use this form to report any unsafe condition in a retaining wall. It must be submitted by a Professional Engineer prior to the submission of an unsafe inspection report.
RWIP3 Form - Rev. 5/15

RWIP6: Retaining Wall Inspection Program Intake

This form must be included when you file a report
RWIP6 Form - Rev. 5/15

RWIP11: Notice of Violation Response

This form must be completed and submitted to the Department if you believe the DOB Retaining Wall Violation issued to your property was in error. Please ensure the RWIP 11 form has been signed and you have included a copy of your property survey, with several photographs depicting the location and height of the retaining wall.
RWIP11 Form - Rev. 4/20

TR16: Technical Report: Periodic Inspection of Retaining Walls

Must be accompanied by the Engineer's report.
TR16 Form - Rev. 8/21
TR16 Instructions

Signs

SIG1: Property Owner Sign Affidavit

Use this form when applying for a sign work permit to erect, alter, or install a sign/sign structure that is larger than 200 square feet in an area that is subject to inclusion on the sign inventory as set forth in Section 49-15 of Title 1 of the Rules of the City of New York.
SIG1 Form - Rev. 8/06

OAC1 Outdoor Advertising Company Registration Application

Use this form to register as an Outdoor Advertising Company (OAC).
OAC1 Form - Rev. 5/09
OAC1 Instructions

OAC2: Outdoor Advertising Company Sign Inventory Summary

Use this form to provide a summary of your sign inventory.
OAC2 Form - Rev. 5/09
OAC2 Instructions

OAC3: Outdoor Advertising Company Sign Profile

Use this form to provide a separate profile for each sign in the sign inventory.
OAC3 Form - Rev. 5/09
OAC3 Instructions

OAC4: Outdoor Advertising Company Affiliated OAC(s)

Use this form to provide a list of affiliated OAC(s)
OAC4 Form - Rev. 5/09
OAC4 Instructions

OAC5: Outdoor Advertising Company Responsible Affiliate Interment

OAC5 Form - Rev. 7/13
OAC5 Instructions

OAC6: Outdoor Advertising Company Fee/Security Calculation Worksheet

OAC6 Form - Rev. 5/09
OAC6 Instructions

Letter of Credit 

Use this form to provide a Letter of Credit.
Note: Youmusthave your bank transfer this information onto their letterhead.
Letter of Credit Form

Letter of Credit Agreement

Use this form to define the terms for which the Department may access funds in the Letter of Credit.
Letter of Credit Agreement Form

Certify Correction

You must correct the violating condition and certify correction with the Department. To certify correction, submit:

  • an original Certificate of Correction (AEU2 Form);
  • proof of correction, such as photographs and receipts;
  • a notarized statement attesting to how the violation was corrected.

You can submit a Certificate of Correction once the violating condition is corrected. The hearing and certification processes are separate. To submit a Certificate of Correction request, use an eFiling account to log into DOB NOW at www.nyc.gov/dobnow and select the BIS Options portal. See the Certificate of Correction Request User Guide.

AEU6: Multiple Submission

Use this form when certifying multiple OATH/ECB violations issued by the Department of Buildings. Individual violation certifications must be attached.
AEU6 Form - Rev. 5/13

AEU20: Statement in Support of Certificate of Correction

Use this form when preparing the required statement(s) to accompany the Certificate of Correction (AEU2 Form)
AEU20 Form - Rev. 7/21

Technical Forms

TR1 Technical Report: Statement of Responsibility

Use this form to identify responsibility or to report the results of completed inspections or tests.
TR1 Form - Rev. 8/16
TR1 Instructions
For jobs filed prior to December 31, 2014 ONLY (See Buildings Bulletin 2014-017).
TR1 2008 Form - Rev. 10/13 - OLD Form
TR1 2008 Instructions - OLD Instructions

TR2 Technical Report: Concrete Pouring, Sampling and Compression Test Cylinders

File this form with the TR1 upon completion of required inspections/tests.
TR2 Form - Rev. 12/14
TR2 Instructions

TR3 Technical Report: Concrete Design Mix

Use this form to indicate results of tests and final design mixture for strength of controlled concrete.
TR3 Form - Rev. 2/15
TR3 Instructions

TR3P Technical Report: Concrete Design Mix

This form should be used by approved producers to indicate results of tests and final design mixtures for strength of controlled concrete. This Technical Report must be filed prior to permit issuance in accordance with the New York City Building Code, Chapter 19, Concrete. Trial mixture reports and/or field experiment results must be attached when submitting the TR3P. As a reminder, additional TR3P reports should be submitted as needed for additional trial mixes.
TR3P Form - Rev. 2/15

TR4 Technical Report: Soil Inspection

File this form with the TR1 upon completion of required inspections/tests.
TR4 Form - Rev. 7/08
TR4 Instructions

TR5 Technical Report: Pile Driving

Use this form to indicate results of test report for pile driving.
TR5 Form - Rev. 7/08
TR5 Instructions

TR5H Technical Report: Helical Pile Installation

Use this form for Helical Pile installations. This is a new form for the 2014 Codes and cannot be submitted to the Department prior to the effective date of the 2014 Codes, December 31.
TR5H Form - Rev. 12/14
TR5H Instructions

TR6 Technical Report: Periodic Inspection of Exterior Walls & Appurtenances

The TR6 Report is a required compliance filing that must be completed in DOB NOW: Safety. You must be registered in eFiling to log into DOB NOW: Safety. Register in eFiling, today! The report must be accompanied by the Engineer and/or Architect's report. TR6 Report - Login to DOB NOW: Safety to complete.
DOB NOW: Safety QEWI Manual
TR6 Instructions

TR7 Photoluminescent Report

Use this form to certify compliance with the Photoluminescent exit path marking requirements of Section BC 403.16, and 1 RCNY 1026-01 for high rise buildings constructed pursuant to the 2008 Building Code. This report may be completed by an architect or engineer.
TR7 Form - Rev. 12/14

TR8 Technical Report Statement of Responsibility for Energy Code Progress Inspections

File this form with the TR1 to identify responsibility or to report the results of completed inspections or tests for compliance with the 2020 NYCECC.
TR8 Form - Rev. 5/20 - NEW Form
TR8 Instructions- NEW Instructions
For jobs filed prior to May 12, 2020 ONLY(See Buildings Bulletin 2020-002)
File this form with the TR1 to report the results of completed inspections or tests for compliance with the 2016 NYCECC.
TR8 Form - Rev. 9/16 - OLD Form
TR8 Instructions - OLD Instructions

TR8 Technical Report for Energy Code Progress Inspections

The progress inspector must inspect and compile supporting documentation for all inspections noted on the original TR8: Technical Report Statement of Responsibility for Energy Code Progress Inspections and on any subsequent TR8 statements filed as a result of post-approval amendments. The reports shall include the inspections and/or testing listed in Table I and/or Table II PROGRESS INSPECTIONS FOR ENERGY CODE COMPLIANCE and address all conditions applicable to the scope of work. Complete reports shall be submitted to the department upon request. Per 1 RCNY § 101-07 Approved Agencies (b) (3) Documentation, an approved agency shall maintain records of inspections and tests for at least 6 years.

This template is provided as a guide for the level of documentation expected in a TR8 Inspection Report. The template may be filled in or a similar format may be followed, if the required information is included.
TR8 Inspection Report Template - Rev. 7/19

TR15 Technical Report: Potentially Structurally Compromised Buildings

The TR15 Report is a required compliance filing pursuant to Article 217 of the 2014 Building Code. This form must be accompanied by the Engineer and/or Architect's report.
TR15 Form - Rev. 1/19
TR15 Instructions

TPP1 Tenant Protection Plan

The TPP1 Form is a stand-alone form that must be submitted for all buildings being altered or demolished, containing one or more dwelling units that will remain occupied during construction.
TPP1 Form - Rev. 11/22
TPP1 User Guide