Human Resources Administration311Search all NYC.gov websites
Print icon Print

CityFHEPS Documents

Important forms and documents for CityFHEPS applicants, clients, landlords, and others:

Application Documents

  1. Website Clearance Checklist
  2. Apartment Review Checklist
  3. Apartment Review Guidance
  4. Program Participant Agreement
    Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français
  5. Room Rental Allocation Form (for rooms only)
  6. Tenant Contact Information
  7. Request for Emergency Assistance
    Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Additional Documents for Clients in Shelter

  1. Cover Sheet
  2. CityFHEPS Frequently Asked Questions for Clients in Shelter
    Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/eyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Documents for Community-Based and Provider Organizations

  1. CBO Cover Sheet
  2. Provider Verification of Eligibility
  3. Apartment Walkthrough Outcome
  4. Apartment and SRO Application
    Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français
  5. Room Application
    Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français
  6. CityFHEPS Frequently Asked Questions for clients at risk of entering shelter
    Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Documents for Landlords and Brokers

  1. Change of in Property Ownership
  2. Change of Payee for CityFHEPS Payments
  3. Change of Payment Address
  4. Change in Tenancy
  5. Landlord Information Form - Apartment Rentals
  6. Landlord Information Form - Room and SRO Rentals
  7. Unit Hold Incentive Voucher
  8. Unit Hold Incentive Frequently Asked Questions
  9. Security Voucher
  10. Broker's Request for Enhanced Payment
  11. Landlord/Broker Frequently Asked Questions
  12. Attestation of Compliance for Addressing Potential Lead Based Paint Hazards
  13. CityFHEPS Leasing Frequently Asked Questions
  14. CityFHEPS To-Stay Housing Checklist
  15. Special Supplemental Assistance Fund Fact Sheet
  16. Special Supplemental Assistance Fund Claim Request Form
  17. Utility Form for NYC Only
  18. Landlord Utility Calculator for NYC
  19. DSS CityFHEPS Payment Standards for NYC
  20. CityFHEPS Rent Increase Frequently Asked Questions
  21. Rent Reasonableness Frequently Asked Questions (FAQ)
  22. DSS Rent Comparable Form

Additional Documents for Tenants

Statewide CityFHEPS