complaint process

Tenant/Owner Forms

Tenant/Owner Forms
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Overview

The majority of the forms listed below are available as fillable PDFs. These submissions require an original, written signature

Fillable forms enable you to type in information and save your progress for future completion.

Some forms are also provided as an online application. It is strongly recommended that you complete and submit an online application where the option is available.

While many browsers contain their own PDF plug-ins that allow users to view and type information into fillable forms through a browser window, some PDF plug-ins may be incompatible with the fillable forms or do not support all PDF capabilities.

To avoid experiencing technological issues or if your browser does not have a PDF plug-in, you may download Adobe Acrobat Reader DC, which is available for free on Adobe's website

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
RECOMMENDED: Complete the ONLINE Application for Decreased Services - Individual Apartment Conditions

Or

Complete form HHW-1.

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
RECOMMENDED: Complete the ONLINE Application for Decreased Services - Individual Apartment Conditions

Or

Complete form RA-81.

RA-84 Application For A Rent Reduction Based Upon Decreased Building-Wide Service(s)
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
RECOMMENDED: Complete the ONLINE Rent Overcharge Application for Rent Stabilized Apartments

Or

Complete form RA-89.

RA-89C/RA-89.1C

Tenant's Complaint Of Rent and/or Other Specific Overcharges in Rent Controlled Apartments
Rent Overcharge Application - Information
RECOMMENDED: 
Complete the ONLINE Rent Overcharge Application for Rent Controlled Apartments

Or

Complete form RA-89C.

RA-90

Tenant's Complaint of Owner's Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease
RECOMMENDED: Complete the ONLINE Application for Tenant’s Complaint of Owner’s Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease

Or

Complete form RA-90.

RA-90 ETPA

Tenant's Complaint of Owner's Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease
RECOMMENDED: 
Complete the ONLINE Application for Tenant’s Complaint of Owner’s Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease

Or

Complete form RA-90 ETPA.

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
DBB-N Notice to Tenant Disclosure of Bedbug Infestation History (For New York City)
MRTE-N (2021) Notice of 421-a (16) Apartment Market Rate Threshold Exemption – 2021

MBR Application (2020-21)

MBR Application (2022-23)

2022-2023 Maximum Base Rent (MBR)
RECOMMENDED: Complete the ONLINE 2020-21 or 2022-23 Maximum Base Rent (MBR) Application

Or

Complete the paper MBR Application for 2020-21 and 2022-23.

Includes:

  • VC-2 – “ Notice of 2022-23 Maximum Base Rent (MBR) Program (For Buildings With Rent Controlled Apartments)”
  • VC Instructions  – “ Instructions for 2022-23 Maximum Base Rent Program”
  • VC  – “Violation Certification – 2022-23 Maximum Base Rent”
  • OMESC Instructions  – “ Instructions for 2022-23 Operation and Maintenance and Essential Services Certification”
  • OMESC – “Operation & Maintenance and Essential Services Certification – 2022-23 Maximum Base Rents”
  • OMESC Schedule – “Rent Schedule Of All Apartments For Operation and Maintenance and Essential Services Certification 2022-23 Maximum Base Rents”

2020-2021 Maximum Base Rent (MBR)
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

2020-2021 Maximum Base Rent (MBR) Binder

Includes:

RN-26S (1/20) – Notice of Increase in 2020-2021 Maximum Base Rent and  Maximum Collectible Rent Computation (Short Form).

RMBR-ATT (1/20) – Attachment (Page 1 and 2) To be Filed with Notice Form RN-26 – Long Form For Adjustment of 2020 MBR Where Owner Pays For Tenant’s Gas and/or Electricity.

RMBR-ATT (1/20) -  Attachment (Page 3) to be Filed with Notice Form RN-26 – Long Form For Modification of 2020 MBR To Include Appropriate Labor Cost Adjustment.

RMB-2020  (1/20) – 2020 Maximum Base Rent Master Building Rent Schedule.

RN-26 (1/20) – Notice of Increase in 2020-21 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-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)
RA-79

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

RA-79 Ins Instructions for RA-79
RA-86 Owner's Request For A Prior Opinion On Major Capital Improvement(s)
RA-94 MBR Challenge Re: Maximum Base Rent Order
RA-LR1 New York City Lease Rider for Rent Stabilized Tenants
RA-LR1-EPTA Emergency Tenant Protection Act (ETPA) STANDARD LEASE ADDENDA for Rent Stabilized Tenants
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 Application for Air Conditioner Charges or For an Increase in Maximum Rent for Painting
INITIAL RENT REGISTRATION FORMS: *Effective July 1, 2021, the Initial Apartment Registration form RR-1(i) and Initial Registration Summary form RR-2(i) have been updated.  The prior RR-(i) and RR-2(i) forms will be accepted until September 30, 2021, after which date, submissions received using the prior forms will be returned to the filer to be completed and resubmitted using the updated forms.

 

Initial Rent Registration - Summary of Revisions*
Initial Rent Registration Instructions*

 

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 1 (833) 499-0343.  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

RTP-19.1: Notice To Owners

Owner's Application To Restore Rent
RECOMMENDED: Complete the ONLINE Application to Restore Rent

Or

Complete form RTP-19.

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