Special Grant Document Guide

You can ask for a Special Grant to get benefits for emergencies or add members of your household to your case. Below you can find forms that are used to ask for a Special Grant.

Housing Arrears (money to help pay for rent or mortgage that you owe)

Click below to see the form you will send to ask for help paying for rent or mortgage payments that you owe. The faster we get your documents, the faster we can make a decision about the help you asked for.

Housing Arrears: 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

Utilities

Click below to get a form with more information about how HRA may be able to help pay for your utilities in an emergency. The form also tells you about things like whether or not you will have to pay HRA back and if we can provide more than just one-time help.

Utilities: 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

Help with Moving

Moving Expenses

Click here to get more information about how to give HRA the required estimates from licensed moving companies. The site has useful information about other help we may give you for your move.
https://www.dot.ny.gov/divisions/operating/osss/truck/moving

Once HRA tells you which moving company to use and the move is finished, ask the moving company to complete the form below for payment. Click on the link below.
Move Statement: Available in English, Spanish/Español

Proof of New Address

If your name is not on the lease in your new apartment, please have the person named on lease to complete the form. Click on the link below.

Verification of Secondary Tenant’s Residence and Housing Costs: 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

If the lease for your new apartment is in your name, please ask the landlord to complete this form and send it to us. Click on the link below.

Request for Residence Verification

NYCHA Security Voucher

If you are moving into a New York City Housing Authority (NYCHA) apartment and need help with the security deposit, you must ask NYCHA to complete this form and send it to us. Click on the link below.

NYCHA Rent Security Voucher

Security Voucher (Non-NYCHA)

If you ask for a security deposit, an HRA staff member will complete this form for you.

Click on the link below to see the form.
Security Voucher

Broker's Fee
For help to pay your Broker’s Fee, ask your licensed broker to complete this form. You will then give the completed form to us. Click on the link below.

Broker’s Fee Voucher

If your licensed broker does not accept the HRA Broker’s Fee Voucher, please ask them to complete this form. You will give the completed form to us. Click on the link below for the form.

Broker’s Statement of Fee Payment by Check

Rent in Advance

If you are asking for a broker’s fee to move into a new apartment, please ask the new landlord or property manager to complete this form.

Landlord/Managing Agent’s Statement

Storage

The agency may ask information regarding your items within your existing storage unit. Please be prepared to complete and submit the Storage Inventory Sheet for your storage request.

Storage Inventory Sheet: 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

If you are asking for help to pay for a storage unit that is larger than HRA allows, please complete this form. Click on the link below for the form.

One-Time Approval of Storage Fees Grant for Storage Space Exceeding Limit: 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

If you are asking for help to pay for a storage unit, you may need to complete this form. Click on the link below for the form.

Notice to Applicants/Participants of the Revised Storage Fee Process and Allowance Requirements: 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

Notice Regarding New Storage and Moving Fee Payments: Available in English

Adding a household member to your case:

Proof of Income

The agency will need proof of income for the person that you want to add to your case. If the new member of your household has a job, please ask the employer to complete this form.  Click on the link below for the form.

Employer Questionnaire

Proof of Household Size and Address

If your name is not on the lease in your new apartment, please have the person named on the lease (lease holder) to complete the form. Click on the link below.

Verification of Secondary Tenant’s Residence and Housing Costs: 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

If the lease for your new apartment is in your name, please ask the landlord to complete this form and send to us. Click on the link below.

Request for Residence Verification

Boiler/Furnace or Household Item Repair or Replacement FAQ

To see if you can help with the repair or replacement of a boiler, furnace, or other heating or cooling item, you will need to visit a HEAP Office. They will evaluate if they can help you.

HEAP Office Locations

HEAP works with approved vendors for repairs and replacements. Please use this list as a guide.
Click on the link below to get this list.

HEAP Heating Equipment Repair-Replacement Vendor List

Burial Allowance

HRA may be able to help cover burial expenses after the loss of a relative or friend. The Office of Burial Services will assist you. This application must be completed and returned by mail, In-person at the new address below, by email at BurialServices@hra.nyc.gov, or by fax at (917) 639-0476. Click on the link below for the Burial Allowance Application.

Please note that the address listed on the application is our old address. Our office is now located at 33-28 Northern Blvd, 3rd Floor, Long Island City, NY 11101. Phone: (718) 473-8310.

Burial Allowance 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

Documentation Guide

These guides give examples of documents you can use to give proof of information we need to decide on help for you. These guides don’t mention every type of document needed. Other documents may be used, even if not on the list. Click on the bullets below to get these guides.

• Documentation Guide for Housing-Related Special Grants Requests
• Eligibility Factors and Suggested Documentation

Confirmation page

If you need to visit your assigned Center to discuss your request, click here for a list of HRA Benefits Access Center addresses in the five (5) boroughs.
https://www1.nyc.gov/site/hra/locations/job-locations.page