New York State Seal
STATE OF NEW YORK
INSURANCE DEPARTMENT
25 BEAVER STREET
NEW YORK, NEW YORK 10004

Eliot Spitzer
Governor

Eric R. Dinallo
Superintendent

The Office of General Counsel issued the following opinion on October 26, 2007, representing the position of the New York State Insurance Department.

RE: Hazardous Materials Report Form

An inquiry was made as to how one may obtain a Hazardous Materials Report Form, which is referenced in New York Insurance Law § 3409 (McKinney 2007) and New York General Municipal Law § 209-u (McKinney 2007). A copy of that form may be printed directly from the website of the New York State Department of State, Office of Fire Prevention and Control at http://www.dos.state.ny.us/fire/firepub.htm.

A copy of the Hazardous Materials Report Form may also be obtained by sending a written request to fire@dos.state.ny.us or to:

Office of Fire Prevention and Control
Floyd A. Madison, New York State Fire Administrator
41 State Street
Albany, NY 12231-0001

For further information you may contact Associate Attorney Sally Geisel at the New York City Office.