Bedbug Annual Report Form (pdf file v10/2023)

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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