Ra 81 Form PDF Details

In the bustling city of New York, where the skyline is dotted with as many apartment buildings as there are stars, the State of New York Division of Housing and Community Renewal Office of Rent Administration stands as a beacon of hope for tenants seeking recourse for decreased services. Through its thoughtful provision of the RA-81 form, the agency offers a structured pathway for tenants to formally request a rent reduction based on decreased services within their individual apartments. This meticulously outlined form not only delineates the process of submitting a complaint—from notifying the owner or agent of service decreases to mailing the completed application—but it also specifies the types of decreased services eligible for reporting, such as issues in kitchens, bathrooms, living rooms, and more. Crucially, it requires tenants to affirm the truthfulness of their claims, underlining the seriousness with which these matters are treated. By delineating a clear process, including a prerequisite for notifying landlords before submission and providing detailed descriptions of decreased services, the RA-81 form embodies the state's commitment to ensuring fair living conditions. Furthermore, it introduces a sense of duty and respect towards the contractual relationship between tenant and landlord, emphasizing the importance of communication and documentation. Whether it's an unresolved water leak under the kitchen sink or inadequate heat in the dead of winter, this form stands as an instrumental tool for tenants to ensure their voices are heard and their living conditions adequately addressed.

QuestionAnswer
Form NameRa 81 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform ra 81, application rent reduction, form reduction decreased form, form 81 based form

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State of New York

Division of Housing and Community Renewal

Office of Rent Administration

Web Site: www.nyshcr.org

Application For A Rent Reduction

Based Upon Decreased Service(s) - Individual Apartment

Docket Number:

1. Mailing Address of Tenant:

 

2. Mailing Address of Owner:

Name:

 

 

 

Name:

 

 

Number/Street:

 

 

Apt. No.:

Number/Street:

 

 

City,

 

 

City,

 

State, Zip Code:

 

 

 

State, Zip Code:

 

Telephone No.: Bus. (

)

 

Telephone No.: (

)

 

 

 

 

 

 

 

 

 

 

 

 

Res. (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Subject Building (if different from tenant's mailing address):

Number and Street

Apartment Number

City, State, Zip Code

Instructions To Tenant: Before filing this application, you should first notify the owner or agent in writing of all the service decreases in this application. You should attach a copy of your letter and proof of delivery to the owner or agent. If you do not send a letter to the owner or agent and attach a copy with proof of mailing, the owner/agent will be given additional time to respond to your complaint.

Use this form if you want to report a decrease in services in your individual apartment which you have not already reported to us. If you want to report a decrease in building-wide services, please use Form RA-84. To complain about a lack of heat or hot water, use Form HHW-1. Both forms are available at the Rent Office at Gertz Plaza or your District/Borough Rent Office.

Mail or deliver the original plus one copy of the signed form and one copy of all attachments, to the Rent Office listed on the reverse side of this form. Keep one copy for your records.

PartI-GeneralInformation

1. My apartment is:

Rent Stabilized

Rent Controlled

Hotel Stabilized

SRO (Single Room Occupancy)

a.

A Co-op/Condo (Complete the following):

 

UnitOwner/ProprietaryLessee:

 

 

 

 

 

Name of Cooperative Corp./Condo Assn.:

 

 

 

Managing Agent:

 

b.

My building is managed by a 7a Administrator:

 

 

(Name of 7a Administrator)

2. I moved into my apartment on _____/_____/_____.

3. The total number of apartments in this building is:

Date

(a) I have SCRIE or DRIE.

Yes

No

(b) Section 8 Program:

None

U.S. Dept. of Housing & Urban Development

N.Y. C. Housing Authority

Housing Choice Voucher

N.Y. C. Dept. of Housing & Preservation Development

If applicable, enter Certificate/Voucher Number: ________________________________

RA-81 (3/14)

(SEE REVERSE SIDE)

 

4. The conditions noted in this application were brought to the attention of the owner or agent by letter on _____/_____/_____

The letter was (check one):

sent by regular mail;

sent by certified mail;

proof of mailing is attached to this application.

 

Date

personally delivered. A copy of the letter and

Important: You must submit proof of mailing or delivery (e.g. certificate of mailing, certified mail receipt, or signed receipt from owner/agent acknowledging personal delivery).

Part II - Description Of Decreased Service(s): Check the box next to the area where the condition (equipment or decreased service) exists. Describe in detail: (a) the condition which exists, or (b) the equipment or service which is not being maintained, and (c) the exact location (in the room) of the equipment, decreased service or condition which exists.

Example:

X

Kitchen

There is a water leak under the sink in the kitchen.

Please be as specific as possible in order to ensure the timely processing of your application.

The owner has failed to provide or maintain services or equipment in my apartment and the following conditions exist:

Kitchen:

Bathroom:

Bedroom (Specify which bedroom if more than one):

Living Room:

Dining Room:

Hall Inside Apartment:

Other (Specify which room and the problem):

Part III - Tenant's Affirmation

I have read the information on this form, and I affirm the contents to be true to my own knowledge.

Date

Tenant's Signature

False statements may subject you to penalties provided by law.

Mail ordeliverthis form to the DHCR office listed below.

DHCR,GertzPlaza

92-31UnionHallSt.,6thFloor Jamaica,NY11433

RA-81 (3/14)