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
Format: (000) 000-0000.
Email #2
example@example.com
Telephone
Format: (000) 000-0000.
Complete only one of the following sections:
I certify that the dryer vent(s) in Unit #
Was cleaned on ( enter date)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Owner #1 Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Owner #2 Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Owner #2 Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
-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
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Owner #2 Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: