Free PDF template
New York Flood Disclosure Form for Rentals
New YorkUse this flood disclosure with a New York residential lease to tell tenants about the property’s flood risk and known flood damage. The landlord supplies the information; the PDF includes landlord and tenant signature lines and a renter’s flood-insurance notice.
Guided fields · Sign online · Download your PDF
Start without an account. Using Guide requires payment to download your completed PDF. Online signing requires a subscription or active trial and completed account setup; a single-document purchase does not include signing.
Choose the right form
Is this the right form?
This is a rental disclosure under Real Property Law § 231-b. It is not a property-sale disclosure or a flood-risk assessment. Identify the leased premises clearly when attaching it to the lease.
Using it with a related document? New York residential lease agreement · New York rental and lease forms
Inside the PDF
What this form covers
Flood history and map status
The first checkbox group records known natural flood damage and the property’s FEMA floodplain or risk-area status.
Flood-insurance notice
The printed renter notice explains that a landlord’s insurance does not cover a tenant’s possessions.
Acknowledgments
The PDF has landlord and two tenant signature blocks. It has no dedicated property-address field or space to describe past damage.
Before you start
Information to gather
- The rental address and lease reference: this PDF has no dedicated address field.
- Current FEMA flood-map information for the premises, including whether any part falls in a floodplain, Special Flood Hazard Area, or Moderate Risk Flood Hazard Area.
- Records of prior natural-event flood damage that the landlord knows or reasonably should know about, including what was damaged.
Step-by-step guidance
How to complete this PDF
Review the flood conditions
Review the first checkbox group. If applicable, mark the overarching flood-history/floodplain option and each applicable sub-box; more than one may apply.
Use the combined negative option carefully
Use the final “not located / no flood damage” option only if both statements are accurate. A map result does not establish the property’s damage history.
Describe known damage
Attach a written description of prior flood damage where applicable. The PDF has a checkbox for past damage but no space for the nature of that damage.
Keep the notice with signed copies
Keep the printed flood-insurance notice with the lease. Complete the landlord’s signature, printed name and date, then the applicable tenant lines; this PDF provides two tenant blocks.
Before you use it
Checks and separate documents
Check the insurance notice
The PDF contains the renter’s flood-insurance notice specified in § 231-b. Its presence does not resolve missing property-specific information.
Keep the complete packet
Keep the disclosure, any damage-history attachment and the identified lease together, with copies for landlord and tenants.
Common questions
Before you use this form
Does a FEMA map show whether the home flooded before?
No. Map designation and past natural flood damage are separate facts. Check both before selecting the combined negative option.
Where should I describe earlier flood damage?
The PDF has a damage-history checkbox but no description area. Attach a written description and identify the property and lease.
Extracted PDF field labels
Automatically extracted labels may be incomplete; use the guide above and check the PDF.
- Is the property located in a FEMA designated floodplain?
- Is the property located in a special flood hazard area?
- Is the property located in a moderate risk flood hazard area?
- Has the property experienced damage from natural flooding?
- What is the property's flood history and floodplain status?
- What's the landlord's name?
- What's the first tenant's name?
- What's the second tenant's name?
PDF facts
- Format
- File size
- 218 KB
- Pages
- 1
- Version
- 1
Related documents
Other forms you may find useful.
Rental Lease
New York City Allergen Hazards Disclosure
New YorkNew York City Allergen Hazards Disclosure — a 1-page New York PDF form with 2 fill-in fields.
Rental Lease
New York City Bedbug Disclosure
New YorkNew York City Bedbug Disclosure — a 1-page New York PDF form with 12 fill-in fields for the tenant and agent.
Rental Lease
New York City Building Smoking Policy Disclosure
New YorkNew York City Building Smoking Policy Disclosure — a 1-page New York PDF form with 7 fill-in fields.
Rental Lease
New York City Stove Knob Covers Disclosure
New YorkNew York City Stove Knob Covers Disclosure — a 1-page New York PDF form with 9 fill-in fields.
Rental Lease
New York City Window Guard Disclosure
New YorkNew York City Window Guard Disclosure — a 1-page New York PDF form with 7 fill-in fields.
Rental Lease
New York Commercial Lease Agreement
New YorkNew York Commercial Lease Agreement — a 8-page New York PDF form with 82 fill-in fields for the tenant and landlord and sections covering the parties, leased premises, term and 22 more sections.