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Rent Stabilization/Control Forms

Please download and print the form you need. Send the form and all supporting documentation to the address listed on the form. These forms cannot currently be submitted online and must be submitted in writing.

Rent Forms can also be obtained by calling, writing or visiting one of the DHCR borough or district offices.

Tenant Forms:

Form Name Information
HHW-1 Failure to Provide Heat And/Or Hot Water - Tenant Application for Rent Reduction (90 KB, Date: 05/09, 2 pages)

RA-22.1 Tenant Affirmation of Non-Compliance (82 KB, Date: 01/01, 1 page)

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 (24 KB, Date: 07/04, 2 pages legal)

RA-60H Tenant's Statement of Complaint(s) - Harassment (29 KB, Date: 08/03, 4 pages)

RA-81 Application For A Rent Reduction Based Upon Decreased Service(s) - Individual Apartment

Complete the Application for Decreased Services - Individual Apartment Emergency Conditions online- New

Additional information:

Fact Sheet #3: Required and Essential Services
Fact Sheet #14: Rent Reductions Due to Decreased Services
(92 KB, Date: 02/11, 2 pages)

RA-84 Application For A Rent Reduction Based Upon Decreased Building-Wide Service(s)

Additional information:

Fact Sheet #3: Required and Essential Services
Fact Sheet #14: Rent Reductions Due to Decreased Services
(95 KB, Date: 02/11, 2 pages)

RA-84.1 Supplemental Signature and Affirmation (15 KB, Date: 04/97, 2 pages)

RA-84.2 Supplement to Application For A Rent Reduction Based Upon Decreased Building-Wide Service(s) - Laundry, Doorman, Security, Storage, and/or Playgrounds (13 KB, Date: 08/97, 2 pages)

RA-89/RA-89.1 Tenant's Complaint of Rent and/or Other Specific Overcharges in Rent Stabilized Apartments
Rent Overcharge Application - Information

Additional information:

Fact Sheet #9: Security Deposit
(144 KB, Date: 11/12, 7 pages)

RA-89C Tenant's Complaint Of Rent and/or Other Specific Overcharges in Rent Controlled Apartments (169 KB, Date: 05/01, 6 pages)

RA-89.1C Rent Overcharge Application - Information (107 KB, Date: 05/01, 1 page)

RA-89 FMRA Fair Market Rent Appeal (225 KB, Date: 08/01, 5 pages)

RA-89.1 FMRA Fair Market Rent Appeal - Information (107 KB, Date: 08/01, 1 page)

RA-90 Tenant's Complaint of Owner's Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease (16 KB, Date: 11/12, 2 pages)

RA-90 ETPA Tenant's Complaint of Owner's Failure to Renew Lease and/or Failure to Furnish a Copy of a Signed Lease (87 KB, Date: 11/12, 2 pages)

RA-94 MBR Challenge Re: Maximum Base Rent Order (84 KB, Date: 05/03, 2 pages)

RAC-2202.13 Tenant Challenge To Owner's Report and Certification of Fuel Cost Adjustment (FCA) (20 KB, Date: 06/03, 2 pages)

RAR-2 Petition for Administrative Review (PAR) (25 KB, Date: 09/00, 2 pages legal)

RN-14 Notice of Certification of Overcharge Penalties (94 KB, Date: 6/10, 2 pages)

RN-14.1 Judgment (15.8 KB, Date: 03/05, 1 page)

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)


FOIL-1 Request for Access to Public Records

Additional information:

Operational Bulletin No. 93-1 - for filing and mailing instructions

Guidelines for Requests for Records by Email
(37 KB, Date: 09/09, 2 pages)

Owner Forms:

The following forms are able to be completed online:

Form Name Information

DBB-N

Notice to Tenant Disclosure of Bedbug Infestation History (For New York City)

(7 KB, Date: 10/10, 1 pages)

HRVD-N (Notice of Apartment Deregulation Pursuant to High Rent Vacancy (98KB, Date: 01/31, 3 pages)

MBR Application 2014-15 Maximum Base Rent (MBR) Application

Complete the 2014-15 Maximum Base Rent (MBR) Application online

Includes:

VC-2:
Notice Re 2014-15 Maximum Base Rent (MBR) Program (for Buildings with Rent Controlled Apartments)

VC Instructions:
Instructions for 2014-15 Maximum Base Rent Program
Instructions for Violation Certification 2014-15 MBR Cycle

VC:
Violation Certification - 2014-15 Maximum Base Rent
Instruction Highlights for Violation Certification, 2014-15 MBR Cycle

OMESC Instructions:
Instructions for 2014-15 Operation and Maintenance and Essential Services Certification

OMESC:
Operation & Maintenance and Essential Services Certification - 2014-15 Maximum Base Rents
Schedule A
2014-15 Maximum Base Rent

OMESC Schedule:
Rent Schedule of All Apartments for Operation & Maintenance and Essential Services Certification 2014-15 Maximum Base Rents
(226 KB, Date: 03/11, 18 pages)

MBR Binder

2014-2015 Maximum Base Rent (MBR) Binder

Includes:

RN-26S (1/14)  -- Notice of Increase in 2014-2015 Maximum Base Rent and Maximum  Collectible Rent Computation (Short Form)

RN-26s.1 (1/14)  -- Notice of Maximum Collectible Rent:  Effective January 2015. There were no substantive changes made to this form. 

RMBR-ATT (1/14) – Attachment (Page 1 and 2) To Be Filed With Notice Form RN-26 Long Form For Adjustment of 2010 MBR Where Owner Pays For Tenant’s Gas and/or Electricity. 

RMB-2014 (1/14) – 2014 Maximum Base Rent Master Building Rent Schedule.

RMB-2015 (1/14) – 2015 Maximum Base Rent Master Building Rent Schedule.

RN-26  (1/14) – Notice of Increase in 2014-15 Maximum Base Rent and Maximum Collectible Rent  Computation (Long Form). 


Complete the Maximum Base Rent Master Building Rent Schedule online

(191 KB, Date: 01/12, 17 pages)
 

 

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 (24 KB, Date: 07/04, 2 pgs. legal)

R33.8 Owner's Sixty-Day Notice of Maximum Rent Adjustment for Housing Units Subject to the New York State Rent & Eviction Regulations (SRER)
(Rent Control Apartments Outside of New York City)
(28 KB, Date: 06/08, 2 pages)

RA-33.10 Owner's Report, Certification and Notice of Fuel Cost Adjustment Eligibility

Fuel Cost Adjustment - Summary of Price Changes - 2014

Additional information:

Fact Sheet #13: Fuel Cost Adjustment

Fact Sheet #23: Fuel Cost Adjustment (Q & A for Owners)


RA-42V-NYC Owner's Report of Vacancy Decontrol

Complete the RA-42V-NYC form online
(19 KB, Date: 12/06, 2 pages)

RA-44 Report of Change in Ownership or Address (22 KB, Date: 11/11, 2 pages)

RA-54 Owner's Application for Order Granting Approval to Refuse Renewal of Lease and/or to Proceed for Eviction

Nassau - (20 KB, Date: 03/07, 2 pages)

New York City - (20 KB, Date: 10/04, 2 pages)

Westchester - (20 KB, Date: 03/07, 2 pages)

RA-70

Owner's Application for Termination of Rent Inclusion of Electricity (Direct Metering or Submetering of Rent Controlled & Rent Stabilized Apartments)

Additional information:

Operational Bulletin 2003-1: Conversion from Master to Individual Metering of Electricity with Direct Payment by Tenant

Update Number 1 to Operational Bulletin 2003-1 (09/03/08)

Update Number 2 to Operational Bulletin 2003-1 (12/03/10)

(36 KB, Date: 05/09, 5 pages)

RA-79

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

Additional information:

Policy Statement 93-2: Definition of Room for Major Capital Improvement (MCI) Purposes

Operational Bulletin 90-2: Useful Life Schedule For Major Capital Improvements

Addendum to Operational Bulletin 90-2 Useful Life Schedule

(32 KB, Date: 05/06, 7 pages)

RA-79 Ins Instructions for RA-79 (33 KB, Date: 05/06, 4 pages)

RA-86 Owner's Request For A Prior Opinion On Major Capital Improvement(s) (16 KB, Date: 07/95, 1 page)

RA-93 CF Income Certification Form - 2013 Filing Period (97 KB, Date: 11/12, 3 pages)

RA-93 OPD Petition by Owner for High Income Rent Deregulation - 2013 Filing Period (85 KB, Date: 10/12, 2 pages)

RA-93 OPD Ins Instructions for Completing and Filing RA-93 OPD (79 KB, Date: 11/12, 1 page)

RA-94 MBR Challenge Re: Maximum Base Rent Order (24 KB, Date: 05/03, 2 pages)

RA-LR1
Rent Stabilization Lease Rider For Apartment House Tenants Residing In New York City (145 KB, Date: 8/11, 9 pages)

RA-LR1-EPTA
Emergency Tenant Protection Act (ETPA) STANDARD LEASE ADDENDA for Rent Stabilized Tenants RA-LR1 (ETPA) (229 KB, Date: 5/14, 11 pages)

RA-LR2
Renewal Lease Form - Rider For Renewal Leases to be Offered During Pendency of High Income Deregulation Proceedings (16 KB, Date: 09/09, 1 page)

RAMS-93 Owner's Application for Modification of Services (91 KB, Date: 09/13, 4 pages)

RAR-2 Petition for Administrative Review (PAR) (25 KB, Date: 09/00, 2 pgs. legal)

RC-50 Report and Certification To Alter or Demolish Occupied Housing Accommodations (24 KB, Date: 10/04, 3 pages)

RN-79b Owner's Notice of a Rent Increase Based on Increased Services/New Furnishings/Equipment/Painting; and Tenant's Statement of Consent

Owner's Application for Air Conditioner Charges or For an Increase in Maximum Rent for Painting
(89 KB, Date: 10/11, 2 pages)

 

INITIAL RENT REGISTRATION FORMS:

Initial forms cannot currently be filed online.  These PDFs are available for you to use.

Initial Rent Registration Instructions

 
RR-1(i) Initial Apartment Registration (152 KB, Date: 12/07, 2 pages)
RR-2(i) Initial Registration Summary (44 KB, Date: 12/07, 1 page)
RR-3(i) Initial Building Services Registration (36 KB, Date: 07/06, 1 page)

  Filing Initial Registrations–Determining Effective Dates

 

(21 KB, Date: 03/13, 1
  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 either RentInfo@nyshcr.org; PSU@nyshcr.org or by calling the Rent Infoline at 718-739-6400.  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 (90 KB, Date: 1/10, 2 pages)

RTP-8 Renewal Lease Form (27 KB, Date: 07/14, 2 pages)

RTP-8 ETPA ETPA Renewal Lease Form (134 KB, Date: 07/14, 2 pages)

RTP-9NI Instructions for completing Property Maintenance & Operations Cost Survey Schedule for Submission to the Nassau County Rent Guidelines Board
(93 KB, Date: 03/11, 2 pages)

RTP-9RI Instructions for completing Property Maintenance & Operations Cost Survey Schedule for Submission to the Rockland County Rent Guidelines Board
(94 KB, Date: 03/11, 2 pages)

RTP-9WI Instructions for completing Property Maintenance & Operations Cost Survey Schedule for Submission to the Westchester County Rent Guidelines Board
(94 KB, Date: 03/11, 2 pages)

RTP-19

Owner's Application To Restore Rent

Complete the RTP-19 form online

Additional information:

RTP-19.1: Notice To Owners

Fact Sheet #14: Rent Reductions Due to Decreased Services

(24 KB, Date: 05/09, 2 pages)

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

(72 KB, Date: 02/91, 19 pages)
RTP-45I Instructions for Filing an Owner's Application for Rent Increase Based on Alternative Hardship (76 KB, Date: 07/92, 25 pages)

FOIL-1 Request for Access to Public Records

Additional information:

Operational Bulletin No. 93-1 - for filing and mailing instructions

Guidelines for Requests for Records by Email
(37 KB, Date: 9/09, 2 pages)

Last updated on 02/10/14