| Date |
|
| Name* |
|
| Company |
|
E-Mail Address* |
|
| Phone |
|
| Address * |
|
| Zip Code* |
|
| Borough* |
|
| For Section 8 Documents ONLY, Include Social Security Number |
|
| Subject Address |
|
| Apt # |
|
| Borough, Block, And Lot (If Applicable) |
|
| Am The Owner Of The Subject Building |
Yes
No |
| I Am The Owner's Representative Of The Subject Building |
Yes
No |
| I Am A Tenant Of The Subject Building |
Yes
No |
| I Am The Attorney Representing The Subject Person |
Yes
No |
NOTE: Pursuant to Multiple Dwelling Law §328(3), computerized violation files printed directly from HPD Online may be used in housing court proceedings. There is no need to have these documents Certified as true under the seal and signature of the HPD Commissioner.
Pursuant To The Freedom Of Information Law, I Would Like
To Review
To Obtain Copies Of |
| The Following Documents ( Check all that apply following) |
HOUSING MAINTENANCE CODE VIOLATIONS |
Yes
No |
| J-51 CERTIFICATE OF ELIGIBILITY |
Yes
No |
| 421-a PROGRAM CERTIFICATE OF ELIGIBILITY |
Yes
No |
| LEAD PAINT INSPECTION |
Yes
No |
| EMERGENCY REPAIR CHARGES / INVOICES |
Yes
No |
| COPIES OF HOUSING MAINTENANCE CODE COMPLAINTS |
Yes
No |
| SECTION 8 FILE |
Yes
No |
| OTHER |
|
|
| DESCRIBE THE RECORD YOU ARE SEEKING IN AS MUCH DETAIL AS POSSIBLE. PLEASE INCLUDE RELEVANT DATES, NAMES AND ADDRESSES: |
|
THIS FORM MAY ALSO BE PRINTED OUT AND SUBMITTED VIA REGULAR MAIL OR BY FAX TO: FOIL UNIT--HPD 100 Gold Street, Room 5-U9, New York, NY 10038
FAX: 212-863-8375
OR |
Please click on SUBMIT to send this information to the HPD's Foil Unit
|