N.Y. Comp. Codes R. & Regs. tit. 6, § 494.6 – Administrative requirements.

(a) Any person who manufactures for sale or entry into commerce in the State of New York new motor-bearing equipment or new foam products in the end-uses listed and after the applicable prohibition dates in section 494.4 of this Part, must provide:
1. (1) a written disclosure statement to the buyer as part of the sales transaction and invoice; or
2. (2) a label on the equipment, product, or its packaging.
(b) The written disclosure statement or label may be combined with such statements required by other jurisdictions.
(c) The written disclosure statement or label must state that the motor-bearing refrigeration equipment or foam product may only be used in the State of New York with substances that are in compliance with New York State regulations.
(d) If not combined with a written disclosure statement required by another jurisdiction, the written disclosure shall include the following statement signed by an authorized representative of the manufacturer: "I certify under penalty of law that the statements and information submitted in this document are to the best of my knowledge and belief true, accurate, and complete."