Complete the property information in Section 1 of this form. Sign, date and print your name and title in Section 2 below. Provide current rent roll* for the subject
APPLICATION FOR IAS NYC SPECIAL INSPECTION AGENCY
(exactly as it should appear in listing). 2. DESIRED SCOPE OF ACCREDITATION : (Please refer to the IAS NYC Special Inspection Agency Program Form—Page
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT
certification included in the regulations before completing this form. Signature of this form provides for compliance with certification requirements
Instructions to Applicants
All sections of the application must be fully completed before the sheet of the same size may be enclosed with the application (please refer to the