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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

A copy of the Hazardous Materials Report Form may also be obtained by sending a written request to 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.

Department of Financial Services


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