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TCC Service Request

Landlord, Owner or Agent’s Name: *

Office #

Mobile # *

Email Address: *

Tenant Information

Tenant’s Name: *

Address:

Voucher #:

Tel #:

Request For Service

Please Select Your Desired Service By Checking The Appropriate Box(es) Below

Certification of Completed Repairs (Apt. Only) - $100.00
Certification of Completed Bldg. Repairs (Public Space Only) - $100.00
Owner Lead-Based Paint Certification - $100.00
Certification of Completed Repairs (Apt. & Public Space) - $150.00
Certification of Completed Repairs (Apt. & Lead-Based Paint) - $150.00
Certification of Completed Repairs (Public Space & Lead-Based Paint) - $150.00
Certification of Completed Repairs (Apt, Public Space & Lead Paint) Most Popular Selection - $200.00
Re-inspection Certification - $50.00
Special Inspection Certification - $50.00
Change/Correction of Landlord’s information - $25.00

Thank you for using The Certification Company! You will receive an invoice shortly. Payment is due upon receipt of invoice. We accept: Cash, credit/debit cards and e-checks.

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Address

418 Broadway #4237
Albany, NY 12207

Support@certifymyviolations.com

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