Tenant’s Request for Inspection – New York
The “Tenant’s Request for Inspection” form is used by tenants in New York to request an inspection by the Division of Code Enforcement. This form is typically used to report conditions in your apartment or public areas that you believe are violations of the housing code. Below is a step-by-step guide to help you fill out this form accurately.
Section-by-Section Guide
Civil Court Information
- Index No: Leave this blank; it will be filled out by the court.
- Department of Housing Preservation and Development: This section is pre-filled with the department’s details.
Tenant Information
- Tenant’s Name: Write your full name.
- Tenant’s Address: Write your complete address, including apartment number and floor.
- Phone Numbers: Provide both your home and work phone numbers for contact.
Child Information
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- Children Under 6: Indicate if there are any children under the age of 6 living in the apartment. If yes, provide their names and ages or dates of birth.
Access Information
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- Contact for Access: Provide details of how the inspector can gain access to your apartment (e.g., contact a neighbor, building manager, etc.).
Allegation of Violations
- List of Conditions: Specifically list the conditions you allege are violations. Be clear and specific about each condition and its location (e.g., Room, Apt. No., Public Area).
- Inspector’s No: Leave this blank; it will be filled out by the inspector.
- Date: Leave this blank; it will be filled out by the inspector.
- Signature: Sign the form to confirm your request.
- Date of Request: Write the date you are filling out the form.
Inspection Scheduling
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- Preferred Inspection Time: Check the time slot that works best for the inspection. Options include:
- 10 AM – 2 PM
- 2 PM – 6 PM
- 5 PM – 9 PM
- Weekend 10 AM – 3 PM
- Staten Island 10 AM – 2 PM
- Preferred Inspection Time: Check the time slot that works best for the inspection. Options include:
Additional Information
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- Comments or Additional Requests: Use this section to provide any additional comments or requests related to the inspection.
Important Notes
- Free Form: No fee is charged to fill out this form.
- Submission: After completing the form, submit it to the Division of Code Enforcement as instructed on the form.
- Court Appearance: Your case will appear on the court calendar; make sure to attend the hearing as scheduled.