In the bustling state of New York, a critical tool for tenants facing non-compliance issues with their landlords is the Tenant Affirmation of Non-Compliance, formally known as the RA-22.1 form. Issued by the Division of Housing and Community Renewal, this form serves as a formal declaration from tenants about their landlords' failure to adhere to specific orders within a 30-day period. The process is designed to be straightforward: a tenant waits for the mentioned period after an order is issued, fills out the RA-22.1 form, attaches a copy of the non-complied order, and submits this packet to the Office of Rent Administration. It's important to note that this form should only be used for issues expressly listed in the original order. This ensures that unrelated complaints follow a different procedure, maintaining clarity and efficiency in addressing tenant-landlord disputes. With clear directions for tenants on how to initiate compliance proceedings, the RA-22.1 form is an essential mechanism for ensuring rental agreements are honored and living conditions are maintained according to legal standards.
| Question | Answer |
|---|---|
| Form Name | Form Ra 22 1 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | NY, New_York, nyshcr, non employment re employment certificate |
State of New York |
Gertz Plaza |
Division of Housing and Community Renewal |
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Office of Rent Administration |
Jamaica, NY 11433 |
Web Site: www.nyshcr.org |
(718) |
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Tenant Affirmation of
Docket Number:
Mailing Address of Tenant: |
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Mailing Address of Owner/Managing Agent: |
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Name: |
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Name: |
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Number/Street: |
Apt. No.: |
Number/Street: |
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City, |
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City, |
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State, Zip Code: |
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State, Zip Code: |
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Telephone No. (If None, put None): |
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Telephone No. (If None, put None): |
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Subject Building (if different from tenant's mailing address):
Number and Street |
Apartment Number |
City, State, Zip Code |
Instructions to Tenant:
You may file this form to request compliance proceedings be initiated if the owner has failed to comply with an order within thirty (30) days after the issue date of the Order.
To request the initiation of compliance proceedings, you should:
1.Wait thirty (30) days after the Order is issued;
2.Complete this Affirmation of
3.Attach a complete copy of the Order that has not been complied with; and
4.Mail this form at least thirty (30) days after the issue date of the Order. Please attach a copy of the Order.
DO NOT use this form to complain about conditions which are not listed on the Order. A new complaint form must be filed for those conditions not listed on the Order.
Affirmation
I, |
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, hereby affirm that the Owner has not complied with the Order issued on |
(Print Name)
by the Rent Administrator. The owner has failed to:
All other conditions cited on the Order which are not listed above have been corrected.
/ /
Date |
Signature of Tenant |