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Official form For landlords

NYC bedbug disclosure (Form NYC-EFFBB)

Legal advice recommended before use.

New York City landlords must provide every tenant, at lease signing, a notice of the building's bedbug infestation history for the prior year (Form NYC-EFFBB), and file the annual report with HPD. Use the official form.

The official version is the authoritative form — use it wherever the law requires it. You can also fill in a plain-language copy below.

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This is a plain-language copy for your convenience. File the official annual bedbug report with HPD and use the official form where required (linked above). This is a template, not legal advice.

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