FAIRWAY - Dryer Vent Cleaning Cerification Form

FAIRWAY - Dryer Vent Cleaning Cerification Form
RULES AND REGULATIONS for RESIDENTIAL UNIT Annual Dryer Vent Cleaning Certification Form

This form is required to be submitted by all Owners on an annual basis, no later than September 30th.
Unit #
Owner's Name(s)
Email #1
example@example.com
Telephone
Email #2
example@example.com
Telephone
Complete only one of the following sections:
I certify that the dryer vent(s) in Unit #
Was cleaned on ( enter date)

MonthDayYear
Date
Owner #1 Signature

Clear
Date

MonthDayYear
Date
Owner #2 Signature

Clear
Date

MonthDayYear
Date
I certify that Unit #
has a dryer that does NOT require venting and that the dryer type is:
(check one) Condensing
Other
(please specify)
Owner #1 Signature

Clear
Date

MonthDayYear
Date
Owner #2 Signature

Clear
Date

MonthDayYear
Date
-OR-

I certify that this Unit does not have a dryer and agree that if a dryer is brought into the Unit, I will promptly sumbit a new form.
Owner #1 Signature

Clear
Date

MonthDayYear
Date
Owner #2 Signature

Clear
Date

MonthDayYear
Date
Should be Empty: