NYC Build it Back Demographics Form

 


Thank you for registering with the NYC Build It Back Program. In order to comply with Federal Housing and Equal Opportunity regulations, we are required to report to the U.S. Department of Housing and Urban Development each applicant’s race and ethnicity, who registered for or received disaster recovery assistance. Only the head of your household is required to fill out this information.

* Indicates required fields.

 
 
 
 
 
 
 

Damaged Home Address

 
 
 
 
 

 
 
 
 
 
 
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