complaint process

Tenant/Owner Forms

Tenant/Owner Forms
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Overview

Please download and print the form you need. Send the form and all supporting documentation to the address listed on the form. These forms cannot currently be submitted online and must be submitted in writing.

Rent Forms can also be obtained by calling, writing or visiting one of the DHCR borough or district offices.

Tenant Forms

The following forms are able to be completed online:

 

Form Name
HHW-1 Failure to Provide Heat And/Or Hot Water - Tenant Application for Rent Reduction
Complete the Application for Decreased Services - Individual Apartment Conditions online
RA-22.1 Tenant Affirmation of Non-Compliance
RA-23.5 Notice To Owner Of Family Members Residing With The Named Tenant In the Apartment Who May Be Entitled to Succession Rights/Protection From Eviction
RA-60H Tenant's Statement of Complaint(s) - Harassment
RA-81 Application For A Rent Reduction Based Upon Decreased Service(s) - Individual Apartment
Complete the Application for Decreased Services - Individual Apartment Conditions online

Additional information:
Fact Sheet #3: Required and Essential Services
Fact Sheet #14: Rent Reductions Due to Decreased Services
RA-84 Application For A Rent Reduction Based Upon Decreased Building-Wide Service(s)

Additional information:
Fact Sheet #3: Required and Essential Services
Fact Sheet #14: Rent Reductions Due to Decreased Services
RA-84.1 Supplemental Signature and Affirmation
RA-84.2 Supplement to Application For A Rent Reduction Based Upon Decreased Building-Wide Service(s) - Laundry, Doorman, Security, Storage, and/or Playgrounds
RA-89/RA-89.1 Tenant's Complaint of Rent and/or Other Specific Overcharges in Rent Stabilized Apartments
Rent Overcharge Application - Information
Complete Rent Overcharge Application Online 
Additional information:
Fact Sheet #9: Security Deposit
RA-89C

Tenant's Complaint Of Rent and/or Other Specific Overcharges in Rent Controlled Apartments

Complete the Tenant’s Complaint of Rent and/or Other Specific Overcharges online

RA-89.1C Rent Overcharge Application - Information
RA-89 FMRA Fair Market Rent Appeal
RA-89.1 FMRA Fair Market Rent Appeal - Information
RA-90

Tenant's Complaint of Owner's Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease

Complete the Tenant’s Complaint of Owner’s Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease online

RA-90 ETPA

Tenant's Complaint of Owner's Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease

Complete the Tenant’s Complaint of Owner’s Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease online

RA-94 MBR Challenge Re: Maximum Base Rent Order
RAR-2 Petition for Administrative Review (PAR)
REC-1 Request for Records Access
RN-14 Notice of Certification of Overcharge Penalties
RN-14.1 Judgment
RTP-13I Instructions For Senior Citizen or Disability Rent Increase Exemption Application

(Only for use by Nassau and Westchester county tenants)

RTP-13A Application For Senor Citizen or Disability Rent Increase Exemption

(Only for use by Nassau and Westchester county tenants)

RTP-13R Reconsideration: Tax Abatement Order

(Only for use by Nassau and Westchester county tenants)

 

Owner Forms

The following forms are able to be completed online:

 

Form Name
RA-93 OPD Petition By Owner for High Income Rent Deregulation (OSSINING BUILDINGS ONLY)
RA-93 OPD Ins Instructions for Completing and Filing RA-93 OPD (OSSINING BUILDINGS ONLY)
DBB-N Notice to Tenant Disclosure of Bedbug Infestation History (For New York City)
HRVD-N Notice of Apartment Deregulation Pursuant to High Rent Vacancy
MBR Application 2020-2021 Maximum Base Rent (MBR)
Complete the 2020-21 Maximum Base Rent (MBR) Application online

Includes:
  • VC-2 - “ Notice of 2020-21 Maximum Base Rent (MBR) Program (For Buildings With Rent Controlled Apartments)”
  • VC Instructions  – “ Instructions for 2020-21 Maximum Base Rent Program”
  • VC  – “Violation Certification – 2020-21 Maximum Base Rent”
  • OMESC Instructions  – “ Instructions for 2020-21 Operation and Maintenance and Essential Services Certification”
  • OMESC – “Operation & Maintenance and Essential Services Certification – 2020-21 Maximum Base Rents”
  • OMESC Schedule – “Rent Schedule Of All Apartments For Operation and Maintenance and Essential Services Certification 2020-21 Maximum Base Rents”
MBR Binder

2018-2019 Maximum Base Rent (MBR) Binder

Includes:

RN-26S (9/19)  -- Notice of Increase in 2018-19 Maximum Base Rent and Maximum Collectible Rent Computation (Short Form).

RN-26s.1 (9/19)  -- Notice of Maximum Collectible Rent: Effective January  1, 2019.

RMBR-ATT  2018 (9/19) – Attachment (Page 1 and 2) To be Filed With Notice Form RN-26 – Long Form For Adjustment of 2018 MBR Where Owner Pays For Tenant’s Gas and/or Electricity.

RMB-ATT 2018 (9/19) – Attachment (Page 3) To be Filed With Notice Form RN-26 – Long Form For Modification of 2018 MBR To Include Appropriate Labor Cost Adjustment .

RMB-2018 (9/19) – 2018 Maximum Base Rent Master Building Rent Schedule.

RMB-2019 (9/19) – 2019 Maximum Base Rent Master Building Rent Schedule.

RN-26  (9/19) – Notice of Increase in 2018-19 Maximum Base Rent and Maximum Collectible Rent  Computation (Long Form).
Complete the Maximum Base Rent Master Building Rent Schedule online

R-33.8

Owner's Sixty-Day Notice of Maximum Rent Adjustment  For Housing Units Subject to the New York State Rent & Eviction Regulations

RA-23.5 Notice To Owner Of Family Members Residing With The Named Tenant In the Apartment Who May Be Entitled to Succession Rights/Protection From Eviction
RA-33.10

Owner's Report, Certification and Notice of Fuel Cost Adjustment Eligibility
This form must be completed online
Fuel Cost Adjustment - Summary of Price Changes

RA-42V-NYC Owner's Report of Vacancy Decontrol
Complete the RA-42V-NYC form online
RA-44 Report of Change in Ownership or Address
RA-54 Owner's Application for Order Granting Approval to Refuse Renewal of Lease and/or to Proceed for Eviction
RA-70

Owner's Application for Termination of Rent Inclusion of Electricity (Direct Metering or Submetering of Rent Controlled & Rent Stabilized Apartments)

Additional information:

Operational Bulletin 2014-1 - (Replaced Operational Bulletin 2003-1) Conversion from Master to Individual Metering of Electricity with Direct Payment by Tenant Schedule of Rent Reductions. Also see: Home Energy Fair Practices Act (HEFPA)

Update Number 1 to Operational Bulletin 2014-1 (03/23/15)

RA-79

Owner's Application For Rent Increase Based On Major Capital Improvements (MCI)

Additional information:

Policy Statement 93-2: Definition of Room for Major Capital Improvement (MCI) Purposes

Operational Bulletin 90-2: Useful Life Schedule For Major Capital Improvements

Addendum to Operational Bulletin 90-2 Useful Life Schedule

RA-79 Ins Instructions for RA-79
RA-86 Owner's Request For A Prior Opinion On Major Capital Improvement(s)
RA-93 CF Income Certification Form - 2019 Filing Period
RA-94 MBR Challenge Re: Maximum Base Rent Order
RA-LR1 Rent Stabilization Lease Rider For Apartment House Tenants Residing In New York City
RA-LR1-EPTA Emergency Tenant Protection Act (ETPA) STANDARD LEASE ADDENDA for Rent Stabilized Tenants RA-LR1 (ETPA)
RA-LR2 Renewal Lease Form - Rider For Renewal Leases to be Offered During Pendency of High Income Deregulation Proceedings
RAMS-93 Owner's Application for Modification of Services
RAR-2 Petition for Administrative Review (PAR)
RC-50 Report and Certification To Alter or Demolish Occupied Housing Accommodations
REC-1 Request for Records Access
RN-79b Owner's Notice of a Rent Increase Based on Increased Services/New Furnishings/Equipment/Painting; and Tenant's Statement of Consent
Owner's Application for Air Conditioner Charges or For an Increase in Maximum Rent for Painting
INITIAL RENT REGISTRATION FORMS: * Effective April 1, 2016 these forms should be submitted to DHCR/ORA, Rent Registration Unit, 92-31 Union Hall Street Jamaica, NY 11433 and should not be submitted to Hampton Plaza , Albany, NY

Initial forms cannot currently be filed online.  These PDFs are available for you to use.

Initial Rent Registration Instructions

** Special Note- Owners of buildings in the Village of Ossining- you will be provided with specific Initial Registration Instructions by mail.

Initial Registration Instructions Addendum - Regulatory Agreement Buildings

Initial Registration Instructions – 421a (1-15) Buildings

Initial Registration Instructions- 421-a (16) Tax Benefit Buildings

Initial Registration Instructions - Village of Ossining

RR-1(i) Initial Apartment Registration
RR-2(i) Initial Registration Summary
RR-3(i) Initial Building Services Registration
ANNUAL RENT REGISTRATION FORMS: Rent Registration Information

Complete the 2001 and forward annual rent registrations using the Owner Rent Regulation Applications system
For late filings of Annual Rent Registrations prior to 2001, request forms from [email protected] or by calling the Rent Infoline at 718-739-6400.  A blank form will be provided to you for reproduction.

RS-3 Application by Owner to Determine Whether Building/Apartment Is Exempt From The Emergency Tenant Protection Act or The Rent Stabilization Law
RTP-8 Renewal Lease Form
RTP-8 ETPA ETPA Renewal Lease Form
RTP-9NI Instructions for completing Property Maintenance & Operations Cost Survey Schedule for Submission to the Nassau County Rent Guidelines Board
RTP-9RI Instructions for completing Property Maintenance & Operations Cost Survey Schedule for Submission to the Rockland County Rent Guidelines Board
RTP-9WI Instructions for completing Property Maintenance & Operations Cost Survey Schedule for Submission to the Westchester County Rent Guidelines Board
RTP-19

Owner's Application To Restore Rent

Complete the RTP-19 form online

Additional information:
RTP-19.1: Notice To Owners
Fact Sheet #14: Rent Reductions Due to Decreased Services

RTP-45 Owner's Application for Rent Increase Based on Alternative Hardship (Emergency Tenant Protection Act and/or Rent Stabilization Law)

Includes:
RTP-45A:
Alternative Hardship Rent Increase Qualification Form (Emergency Tenant Protection Act and/or Rent Stabilization Law)
RTP-45B:
Calculation of Owner's Equity in Property (Supplement to Alternative Hardship Rent Increase Qualification Form)
RTP-45C:
Alternative Hardship Rent Increase Application - Part II - (Emergency Tenant Protection Act and/or Rent Stabilization Law)
RTP-45D:
Alternative Hardship Rent Increase Application - Part III - Substantiating Information
RTP-45E (Item A):
Calculation of Allowable Mortgage Interest
RTP-45E (Item B):
Calculation of Allowable Mortgage Interest
RTP-45F:
Rental Income Worksheet
RTP-45G:
Owner's or Managing Agent's Statement of Affirmation to Application for Alternative Hardship Rent Increase
RTP-45I Instructions for Filing an Owner's Application for Rent Increase Based on Alternative Hardship