NYC Social Services Homeless Forms
This file contains essential information for tenants and landlords regarding housing verification and rental agreements. It serves as an official document for the New York City Department of Homeless Services. Users can fill out the form to confirm residency and rental costs.
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How do I fill this out?
To fill out this form, gather all necessary information about the primary and secondary tenants. Ensure all fields are completed with accurate and up-to-date information. Double-check your entries before submitting to avoid any errors.

How to fill out the NYC Social Services Homeless Forms?
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1. Gather information about the primary and secondary tenants.
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2. Complete the required fields on the form accurately.
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3. Ensure all necessary documents are ready to submit with the form.
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4. Review the form for any errors or missing information.
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5. Submit the form as instructed.
Who needs the NYC Social Services Homeless Forms?
1
Individuals seeking housing assistance from NYC.
2
Landlords needing to verify tenant information.
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Social service organizations assisting clients with housing.
4
Caseworkers who need to document tenant agreements.
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Tenants wanting to establish their residency officially.
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What are the instructions for submitting this form?
To submit this form, email it to the designated housing authority at submit@nyc.gov or fax it to (212) 555-0634. Alternatively, you can submit the form through the NYC Department of Homeless Services website. For physical submissions, drop off the completed form at your local housing office. Ensure that all accompanying documents are included with your submission.
What are the important dates for this form in 2024 and 2025?
Key dates for submission of this form in 2024 are January 15 for initial applications and March 30 for renewals. In 2025, ensure submissions are completed by January 20 and March 28 for continued assistance. Always check for updates from the NYC Department of Homeless Services.

What is the purpose of this form?
The purpose of this form is to verify the residency and rental details of tenants within New York City. By providing accurate information, tenants and landlords can ensure compliance with housing regulations. This form is vital for obtaining housing assistance and securing tenant rights.

Tell me about this form and its components and fields line-by-line.

- 1. Primary Tenant Name: The name of the person who holds the primary lease.
- 2. Secondary Tenant Name: The name of the person renting from the primary tenant.
- 3. Apartment Address: The complete address of the rental property.
- 4. Monthly Rent: The amount of rent paid by the secondary tenant.
- 5. Utilities Payment Information: Details regarding any additional utility payments.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in processing your housing application. It can also impede the verification process and affect rental rights.
- Housing Assistance Delays: Without submission, you may face delays in receiving housing services.
- Inaccurate Records: Failure to submit correctly can lead to incorrect rental records.
- Impact on Tenant Rights: Missing documentation may jeopardize the rights of tenants.
How do I know when to use this form?

- 1. Applying for Assistance: Use this form when applying for housing support or services.
- 2. Tenant Verification: Employ this form to establish tenant eligibility and residency.
- 3. Dispute Resolution: Necessary for resolving disputes between tenants and landlords.
Frequently Asked Questions
What is this form for?
This form is used for verifying rental information between primary and secondary tenants.
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What information do I need to fill out?
You'll need information pertaining to the primary and secondary tenants, including rental costs.
Is this form accepted for housing applications?
Yes, this form is recognized by the NYC Department of Homeless Services for housing applications.
What if I have questions while filling it out?
You can refer to our FAQs or contact customer support for assistance.
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