DSS-8f (E) 06/26/2023 (page 1 of 3)

CityFHEPS Landlord Information Form –

Apartment Rentals

Unit Information

Address:
Name of Owner:

The unit indicated above (the “Unit”) is being rented for at least a one-year period beginning on

_______________________________ and ending on: _______________________________ .

(the “Rental Agreement Start Date”) (the “Rental Agreement End Date”)

The unit is being rented to: ____________________________________________________________________

(the “Program Participant”)

Please read the Information Form carefully, complete all applicable fields, and sign in the space at the
bottom.

Program Information

HRA will pay a portion of the monthly rent (“CityFHEPS Rental Assistance Supplement Amount”) on behalf of the
eligible CityFHEPS household to rent the Unit. If the Unit being rented by the Program Participant is within the five
(5) boroughs of New York City, the Program Participant is responsible for paying any portion of the rent that is not
covered by the CityFHEPS Rental Assistance Supplement Amount and their Cash Assistance (CA) shelter
allowance, if any. If the Unit being rented by the Program Participant is outside of New York City, but within New
York State, the Program Participant is responsible for paying any portion of the rent that is not covered by the
CityFHEPS Rental Assistance Supplement Amount and their Public Assistance (PA) or Temporary Assistance
(TA) shelter allowance, if any.

Any contractual relationship will be solely between each tenant participating in the program and such tenant’s
landlord participating in the program.

The CityFHEPS Landlord Requirements are set forth in Chapter 10 of Title 68 of the Rules of the City of New
York and can be found in the CityFHEPS Landlord FAQ, available at http://nyc.gov/dsshousing.

CityFHEPS is similar to Section 8 in that, subject to the availability of funding, it provides assistance, including
rental assistance in specified amounts, to landlords and tenants who want to form a landlord-tenant relationship.

(Turn page)
DSS-8f (E) 06/26/2023 (page 2 of 3) Department of Social Services
Human Resources Administration

Landlord Information
Please select one:

 I am the Owner of the unit identified above.

 If renting a unit within New York City, I am the Registered Managing Agent for the unit identified
above and have attached current proof of registration with HPD.

 I am authorized to sign this landlord information form and the lease on behalf of the owner of the unit
identified above and have attached proof of such authorization.

Payment Information

Checks should be made payable to _____________________________________________ on behalf of

__________________________________________.
(Owner)

Relationship of Payee to Owner: _______________________

Payee Phone Number: _______________________________

Checks should be mailed to the following address:

Address:

City: State: Zip Code:

I understand that I will receive at least the first full month’s rent up front.
If the Program Participant is moving into a new unit using CityFHEPS, I understand that I can also receive the
following up-front payments (Please select):

 3 months of CityFHEPS Rental Assistance Supplement

If the Unit is being rented with the assistance of a broker, I represent that:

(a) The owner is not the broker.

(b) The owner will not receive any part of the broker’s fee directly or indirectly from the broker.

(c) The premises cannot be rented without the services of the broker below:

Broker:
License Number:
Address:

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DSS-8f (E) 06/26/2023 (page 3 of 3) Department of Social Services
Human Resources Administration

Landlord Requirements

1. For all units:

I understand that before signing a lease for housing built before 1978, federal law requires me to provide
the tenant with:
(a) An EPA-approved information pamphlet on identifying and controlling lead-based paint; and
(b) Any known information concerning the presence of lead-based paint or lead-based paint hazards
in the home or building; and
(c) An attachment to or language inserted in the lease that includes a "Lead Warning Statement" and
confirms that I have complied with all notification requirements.

2. For units within New York City:

(a) In addition to 1. above, I understand that to the extent the provisions of Local Law 1 of 2004 are
applicable, I must comply with them. To the extent such provisions are applicable, I must comply
with New York City Administrative Code §27-2056.8 relating to duties to be performed in vacant
units and with New York City Administrative Code §27-2056.4(c), by providing a copy of the New
York City Department of Health and Mental Hygiene pamphlet concerning lead-based paint
hazards to the Program Participant. This shall not be construed to impose any additional
obligations other than those that already exist under Local Law 1.

3. In accordance with CityFHEPS program rules, I understand that I must:

(a) Comply with all applicable building and housing code standards and ensure that the Unit is
habitable at the time of rental and during the Program Participant’s tenancy;
(b) Deem CityFHEPS payments that are issued by the last day of the month as timely paid towards
the Unit’s rent for that month, regardless of any provisions in the lease to the contrary;
(c) Return any payments from the CityFHEPS Program to DSS for any period that the Program
Participant was not residing in the Unit;

4. I make the following representations:

(a) I have the legal authority to rent out the Unit for the period covered by the lease or rental
agreement.
(b) The rent charged in the lease is at or below the legal rent, if any, for the Unit as established by
federal, state, or local law or regulations.
(c) The information I have provided about the utilities for this unit is accurate. If I have
misrepresented this information, DSS will reduce the ongoing rent by the appropriate amount and
recoup past over-payments.

Landlord Authorized Signature Date

Print Name and Title

Attachment:
Fix Lead Paint Hazards: What Landlords Must Do and Every Tenant Should Know
 HRA-121 (E) 06/30/2021

Date: Tenant’s Name:

Lease ID # (if applicable): Telephone Number:

Broker’s Request for Enhanced Fee Payment by Check

HRA will issue a check for a broker's fee for households that are exiting DHS and HRA shelters as well as certain other
households if the tenant is otherwise eligible and the Broker meets all of the following criteria:

• The Broker has verified that the actual rental unit has a current Certificate of Occupancy in effect issued by the New
York City Department of Buildings, if applicable, or has confirmation that the rental unit’s use and/or type of occupancy
is in compliance with the local jurisdiction’s standards.
• No change has been made in the occupancy or use of the rental unit that is inconsistent with the last issued Certificate
of Occupancy or other equivalent document.
• No dangerous or hazardous violations are present on the premises.
• The Broker has a current broker's license in good standing.
• The Broker is not the owner, controlling person, or an affiliate of the owner of the actual rental unit.
• The lease or rental agreement is for one year or longer

I (we) _____________________________________________________________________________________, located at

Name of Broker

Address

Borough State Zip Code

request payment for services rendered in the form of a check in the amount of $ ____________________ on behalf of the
above-named tenant who will be the primary tenant of the premises located at:

Address Apartment Number

Borough State Zip Code

This amount represents the entire broker’s fee. The tenant is not responsible for any monies in excess of the amount issued by
HRA, which is up to 15% of the annual rent. The enhanced broker’s fee will be offered for as long as funding remains
available. Visit http://www.nyc.gov/dsshousing to see if this enhanced fee is still available.
I (we) certify that I (we) have not requested any fees directly from the tenant, other than, if applicable, an incidental apartment
application fee required of all tenant applicants, and am (are) not aware of the landlord requesting any fees from the tenant
other than what is set forth in the lease/agreement.

I (we), as the Broker of the above-named premises, certify that this rental unit meets all of the criteria listed above.
I (we) agree to promptly refund to HRA the Broker's fee paid hereunder if the tenant fails to move into the above-described
premises or equivalent premises acceptable to the tenant.
Failure to provide true and accurate statements is punishable as a Class A Misdemeanor pursuant to Penal Law
§ 175.30 (offering a false instrument for filing to a public office or a public servant).

Broker’s Signature Date License Number Telephone Number

If corporation, name of officer and corporate seal

 Form W-9 Request for Taxpayer Give Form to the
requester. Do not
(Rev. December 2014)
Department of the Treasury Identification Number and Certification send to the IRS.
Internal Revenue Service
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

See Specific Instructions on page 2.

3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only to
certain entities, not individuals; see
Individual/sole proprietor or C Corporation S Corporation Partnership Trust/estate instructions on page 3):
single-member LLC
Print or type

Exempt payee code (if any)

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ▶
Exemption from FATCA reporting
Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for
the tax classification of the single-member owner. code (if any)
Other (see instructions) ▶ (Applies to accounts maintained outside the U.S.)

5 Address (number, street, and apt. or suite no.) Requester’s name and address (optional)

6 City, state, and ZIP code

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other – –
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN on page 3. or
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for Employer identification number
guidelines on whose number to enter.
–

Part II Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 3.
Sign Signature of
Here U.S. person ▶ Date ▶

General Instructions • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T
(tuition)
Section references are to the Internal Revenue Code unless otherwise noted. • Form 1099-C (canceled debt)
Future developments. Information about developments affecting Form W-9 (such • Form 1099-A (acquisition or abandonment of secured property)
as legislation enacted after we release it) is at www.irs.gov/fw9.
Use Form W-9 only if you are a U.S. person (including a resident alien), to
Purpose of Form provide your correct TIN.
An individual or entity (Form W-9 requester) who is required to file an information If you do not return Form W-9 to the requester with a TIN, you might be subject
return with the IRS must obtain your correct taxpayer identification number (TIN) to backup withholding. See What is backup withholding? on page 2.
which may be your social security number (SSN), individual taxpayer identification By signing the filled-out form, you:
number (ITIN), adoption taxpayer identification number (ATIN), or employer
1. Certify that the TIN you are giving is correct (or you are waiting for a number
identification number (EIN), to report on an information return the amount paid to
to be issued),
you, or other amount reportable on an information return. Examples of information
returns include, but are not limited to, the following: 2. Certify that you are not subject to backup withholding, or
• Form 1099-INT (interest earned or paid) 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable share of
• Form 1099-DIV (dividends, including those from stocks or mutual funds)
any partnership income from a U.S. trade or business is not subject to the
• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) withholding tax on foreign partners' share of effectively connected income, and
• Form 1099-B (stock or mutual fund sales and certain other transactions by 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are
brokers) exempt from the FATCA reporting, is correct. See What is FATCA reporting? on
• Form 1099-S (proceeds from real estate transactions) page 2 for further information.
• Form 1099-K (merchant card and third party network transactions)

Cat. No. 10231X Form W-9 (Rev. 12-2014)

 DSS-8b (E) 09/14/2022

Tenant Contact Information

TENANT INFORMATION

Name:

Date of Birth: Phone Number:

Mailing Address:

E-mail Address:

Emergency Phone Number:

Emergency Contact Name/Type:

LANDLORD / MANAGEMENT COMPANY INFORMATION

Name:

Phone Number:

E-mail Address:

Payment Address:

BROKER INFORMATION (if applicable)

Name:

Phone Number:

E-mail Address:

N/A
SHELTER/PROVIDER INFORMATION

Name:

Phone Number:
 W-147N (E) 05/16/2022 (page 1 of 2)

Date:
Case Number:
Case Name:
Center:

Security Voucher
This security voucher guarantees that the Human Resources Administration (HRA) will pay up to the equivalent of
one month’s rent if it is verified that the tenant who occupied the apartment failed to pay his/her rent and/or caused
damage to it. The landlord must submit proof of the unpaid rent and/or damage along with the Landlord’s Claim For
Security Voucher Payment (on the back page) within three months after the tenant has vacated the apartment. The
Agency will only make a payment if the claim is submitted within three months after the tenant has vacated the
apartment and a review of the documentation submitted by the landlord confirms that the tenant failed to pay his/her
rent and/or damaged the apartment. This Security Voucher will not be honored until the front and back pages have
been completed, signed, notarized, and returned to HRA.
The Human Resources Administration (HRA) does not issue cash security deposits. Instead, the Agency is issuing
this Security Voucher. Please be advised that refusal to accept this voucher in lieu of a security deposit may
constitute source of income discrimination under the NYC Human Rights Law Sec. 8-107(5)(a)(1)-(2).
This Security Voucher is issued by the New York City Department of Social Services (NYCDSS), having its principal
offices at 150 Greenwich Street, New York, NY 10007, to:
Name of Landlord:
Landlord's Address:
City: State: Zip:
as Landlord of the premises to be rented to the participant/tenant located at: (include proof of ownership):

Address:
Apt.
City: State: Zip:
regarding the participant/tenant listed below:

Participant/tenant:

This Security Voucher is being issued pursuant to Social Services Law Sec. 143-c and 18 NYCRR 352.6 and 381.3,
to secure the landlord against non-payment of rent and/or damages as a condition of renting the above-identified
premises ("Premises") to the above-named Cash Assistance participant/tenant ("Participant/Tenant"). A claim for the
payment of this Security Voucher by the landlord must be made after, and within three months of, the
participant/tenant vacating the premises. The claim must be made by the full completion and execution of the Claim
on page two of this form and cannot exceed the amount of the Tenant's monthly rent which is $ .
Landlord, please acknowledge your acceptance of the Security Voucher in lieu of a cash security deposit by signing
this form below:

Landlord's/Authorized Agent 's Name (print):

Landlord's/Authorized Agent's Signature: Date:

(This voucher is not valid until it has been fully completed and authorized in the "For HRA Use Only" section b
For HRA Use Only:
Supervisor's Name (Print):

Supervisor's Signature: Date:

(Turn page)
W-147N (E) 05/16/2022 (page 2 of 2) Human Resources Administration
Family Independence Administration

Landlord's Claim for Security Voucher Payment

I (we), the Landlord(s) of the premises described on page 1 of this form, certify that
tenant/participant name

has vacated the apartment located at Apt. on or about and occupied the
address date

apartment within three months prior to the date of this certification.

I hereby request that the security voucher be paid to me for the reason specified below

Tenant/Participant defaulted on payment of rent for (provide court

judgment, stipulation, landlord breakdown, etc). Month/Year

Tenant/Participant caused the following damages to the apartment. (Describe and also include proof of
damage[s]: e.g., photographs, estimates, receipts for repairs, etc.)

"I, , hereby swear/affirm, under penalty of perjury, that the information I have given
above is true and complete.
(Signature of Landlord or Office of Corporation)
(Print Name)
Subscribed and sworn to/affirmed before me this (Date)
(Signature)
(Notary Seal)"
Please submit the following items along with this claim form:
 proof of ownership (of the premises); and
 documentation of unpaid rent (e.g., court judgment or stipulation, landlord breakdown, etc.) or documentation
to verify the damage(s) to the apartment and the cost of repairs (e.g., photographs, estimates, receipts for
repairs, etc.)

Please send claim to: Office of Central Processing

PO Box 02-9121, Brooklyn GPO
Brooklyn, NY 11202-9914
(OR) submit via email at
SSAF@hra.nyc.gov
 HRA-145 (E) 08/08/2023

Unit Hold Incentive Voucher

The New York City Human Resources Administration (“HRA”) will provide an additional check
for the equivalent of one month’s rent (in the amount listed below) as an incentive for holding
the apartment while HRA completes the approval process. This voucher must be submitted as
part of a rental assistance housing packet and the incentive check will be provided along with
all other initial rent and bonus payments.
Approval of the packet is conditioned on, among other things:
 The tenant continuing to be otherwise eligible for the rental assistance program;
 The apartment passing any applicable inspection or safety and habitability assessment;
 The landlord submitting all applicable rental documents for HRA approval; and
 HRA confirming that it is not already making payments for this apartment or unit on
behalf of anyone who is no longer residing there.
This voucher is available to landlords renting apartments to CityFHEPS and HRA HOME
TBRA clients, FHEPS clients moving out of a DSS shelter, clients moving out of a DHS
shelter with a Special One Time Assistance (SOTA) grant, and veterans moving out of DHS
shelter with a VASH voucher. It may also be available in other limited circumstances. If the
tenant ultimately does not move into the apartment following lease signing, the incentive must
be refunded (call 718-557-1399).

A. Landlord or Management Company Information

Name Phone
Address
City State Zip Code
Check One: Landlord Management
B. Rental Unit
Address Apartment # Monthly Rent

C. Tenant (only one Household may be selected per apartment)

Name Rental Assistance Type

I certify that I own or manage the above-named rental unit and, that the unit is currently
vacant. I agree not to lease the unit to any other third-party while the application is being
processed.
By signing below, I understand that nothing in this document creates a legally
enforceable agreement or guarantee by HRA.

Landlord/Authorized Agent’s Name

Landlord/Authorized Agent’s Signature Date

 DSS-8q (E) 12/29/2023 (page 1 of 4)

Landlord Utility Information

Note to Landlord:
FHEPS can only be used towards a residence within the five (5) boroughs of New York City.
However, CityFHEPS can be used towards a residence anywhere in New York State. Please
note that the rent and utility amounts provided on this form are only valid for potential FHEPS
tenants or for potential CityFHEPS tenants who are moving within New York City. If your
tenant is applying for CityFHEPS and is moving outside of New York City, but within New York
State, please go to the DSS CityFHEPS website to find the statewide amounts at
https://www1.nyc.gov/site/hra/help/cityfheps-documents.page.

Instructions to Landlord:
Please identify the utilities available for the available rental unit and whether the expense is
incurred by you or the tenant.

The unit I am renting is located at (list address):

.

Actual Number of Bedrooms: _______________

Number of Bedrooms on Shopping Letter: _______________
Is this Apartment Rent Stabilized? ☐ Yes ☐ No
Item Specify Fuel Type Paid By (check one)
Heating ☐ Gas ☐ Electric ☐ Oil ☐ Other:______ ☐ Landlord ☐ Tenant
Cooking ☐ Gas ☐ Electric ☐ Oil ☐ Other:______ ☐ Landlord ☐ Tenant
Water Heating ☐ Gas ☐ Electric ☐ Oil ☐ Other:______ ☐ Landlord ☐ Tenant
Other Electric ☐ Landlord ☐ Tenant

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DSS-8q (E) 12/29/2023 (page 2 of 4) Department of Social Services
Human Resources Administration

I understand that when the tenant incurs the expense for utilities, the maximum rent
DSS will approve will be the fair market rent minus the Utility Allowance, as shown in
the attached schedules. DSS will pay the full regulated rent if it is less than this
amount.

I swear or affirm that the information I have provided about the utilities for this unit is accurate.
If I have misrepresented this information, DSS will reduce the ongoing rent by the appropriate
amount and recoup past over-payments.

___________________________________________ _______________
Landlord Name Date

___________________________________________
Landlord Signature

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DSS-8q (E) 12/29/2023 (page 3 of 4) Department of Social Services
Human Resources Administration

DSS Utility Allowance Schedules

(see next page for the FHEPS and CityFHEPS Payment Standards)

COOKING GAS AND ELECTRIC (NO ELECTRIC STOVE)

Number of Bedrooms 0 1 2 3 4 5 or more
Cooking Gas ($) 25 28 33 37 42 46
Electric ($) 74 84 109 134 160 186
Total (w/ Cooking Gas & Electric) ($) 99 112 142 171 202 232
OIL HEAT AND HOT WATER
Number of Bedrooms 0 1 2 3 4 5 or more
Oil Hot Water Only ($) 35 41 60 78 97 115
Oil Heat Only ($) 116 137 156 175 195 214
Total (Oil Heat & Hot Water) ($) 151 178 216 253 292 329
GAS HEAT AND HOT WATER
Number of Bedrooms 0 1 2 3 4 5 or more
Gas Hot Water Only ($) 20 23 34 44 54 65
Gas Heat Only ($) 65 77 89 98 109 120
Total (Gas Heat & Hot Water) ($) 85 100 123 142 163 185
ELECTRIC HEAT AND HOT WATER
Number of Bedrooms 0 1 2 3 4 5 or more
Electric Hot Water Only ($) 28 33 42 51 60 69
Electric Heat Only ($) 39 46 62 77 92 108
Total (Electric Heat & Hot Water) ($) 67 79 104 128 152 177
ELECTRIC
Number of Bedrooms 0 1 2 3 4 5 or more
Electric with Cooking Range ($) 85 97 128 159 191 223

Note: The utility amounts in the chart above are only valid for FHEPS tenants or for
CityFHEPS tenants who move within New York City. If your tenant is applying for
CityFHEPS and moving outside of New York City, but within New York State, please go to
the DSS CityFHEPS website to find the statewide amounts at
https://www1.nyc.gov/site/hra/help/cityfheps-documents.page.

(Turn page)
DSS-8q (E) 12/29/2023 (page 4 of 4) Department of Social Services
Human Resources Administration

FHEPS and CityFHEPS Payment Standards

Maximum Rent Amounts

Without With With No

Family Number of All Utilities
Cooking Gas Cooking Electric Utilities
Size Bedrooms Included
& Electric Gas Only Only Included
1 * SRO $1,967 $1,868 $1,893 $1,942 $1,783
1 0 $2,624 $2,525 $2,550 $2,599 $2,440
(Studio)
1 or 2 1 $2,696 $2,584 $2,612 $2,668 $2,484
3 or 4 2 $3,027 $2,885 $2,918 $2,994 $2,762
5 or 6 3 $3,777 $3,606 $3,643 $3,740 $3,464
7 or 8 4 $4,070 $3,868 $3,910 $4,028 $3,705
9 or 10 5 $4,680 $4,448 $4,494 $4,634 $4,263
11 or 12 6 $5,291 $5,059 $5,105 $5,245 $4,874
13 or 14 7 $5,901 $5,669 $5,715 $5,855 $5,484
15 or 16 8 $6,512 $6,280 $6,326 $6,466 $6,095
17 or 18 9 $7,122 $6,890 $6,936 $7,076 $6,705
19 or 20 10 $7,733 $7,501 $7,547 $7,687 $7,316

* SRO only applies to CityFHEPS

Note: The rent amounts in the chart above are only valid for FHEPS tenants or for CityFHEPS
tenants who move within New York City. If your tenant is applying for CityFHEPS and moving
outside of New York City, but within New York State, please go to the DSS CityFHEPS website
to find the statewide amounts at https://www1.nyc.gov/site/hra/help/cityfheps-documents.page.
 Housing Letter for Clients
To All Housing Clients:

Please note that this letter is to inform you of the procedures when looking for new housing. Please see
the list below and if you have any question please ask the case manager or housing advisor.

x Do not leave your apartment even if the lease expires. Inform case manager if you get a
Marshall’s notice or a letter from management.
x Inform your case manager if:
o If you have no other choice but to enter the shelter system.
o If doubled up and are asked to leave, please update case manage. The case manager
can also assist with mediation
x 30% of your income will go towards the rent if you are working, have SSI, or any other income
coming into the household.
x Voucher amounts cannot be changed by case manager. Your household composition determines
voucher amount. It is not determined by number of bedrooms.
x An approved Good Cause Transfer is good for 1 year.
x Use all resources provided to start your search.
o Use packet provided; apply online for low income housing and Lotteries.
o Search for apartments within all 5 boroughs.
o Provide broker with a copy of your voucher. You should always keep a copy.
o Remain in contact with all brokers on a weekly basis for an update on any available units
you may qualify for.

FOR NEW APARTMENT MOVES

x DO NOT MOVE INTO THE APARTMENT prior to an inspection. Before moving in the apartment
must pass inspection and an application must be approved with your updated address, rent and
portion information.
x When you have found an apartment, have the Broker and/or landlord fill out the packet and
provide it with a copy of the lease, broker’s license and proof of ownership to the case manager.
x Lease must be a minimum of 1 year. Please review lease to see if water, or electric are included.
x If you are not on public assistance you must apply so the application can be completed. If you
are on Public Assistance all Sanctions must be lifted at time of application submission.
x Your income will be recalculated again before the submission of the final application. You must
provide updated income information for 30 days prior to application.
x NO SIDE DEALS, Landlord should receive amount on voucher and nothing more.
x If your income is over the qualifying amount for the subsidy you will may no longer qualify for
the voucher.
x Finally if you feel you are being discriminated against due to your voucher or being asked to
provide additional funds beyond those allowed by your voucher you may reach the NYC
commission on Human rights by calling 311 or 718-722-3131

Providing Help. Creating Hope

 THINGS NEEDED BEFORE STARTING:
PRECLEARANCE •
•
DEED & CERTIFICATE OF OCCUPANCY (COO)
LANDLORD INFORMATION
STEP BY STEP • APARTMENT INFORMATION INCLUDING: APT & FL #

STEP 1: GO TO THE PRECLEARANCE WEBSITE- https://a071-dhsapps.nyc.gov/landlordportal/

STEP 2: SELECT PROVIDER & FILL OUT ONLY REQUIRED BUILDING & INSPECTION CONTACT DETAILS

CHECK
OFF BOX
FOR NYC
LOCATION

TIP: INPUT EMAIL OF PERSON

SUBMITTING THE REQUEST

STEP 3: ADD LANDLORD INFO & FILL OUT ONLY REQUIRED SECTION

TIP: INPUT
EMAIL OF
PERSON
SUBMITTING
STEP 4: ADD NEW APARMENT/ROOM/SRO

CLICK ON THIS

STEP 5: ADD APT INFO & FILL OUT ONLY REQUIRED SECTION

TIP: IF WRONG
FL. IS PLACED
ON APP. IT
WILL FAIL,
REFERENCE
COO FOR FL. #

TIP: DON’T NEED

THIS INFO IT WILL
ALLOW YOU TO
SUBMIT WITHOUT IT

SELECT
UPDATE TO NOTE:
SAVE APT -IF APT # IS REGISTERED, RE-
REGISTER BY ADDING A ZERO
INFO IN FRONT OF APT # EX. 02A OR
002A

-YOU CAN KEEP ADDING ZEROS

UNTIL IT REGISTERS

STEP 6: SUBMIT REQUEST & SAVE REFERENCE NUMBER

• WAIT FOR CONFIRMATION EMAIL FROM: ApartmentOffers@dhs.nyc.gov

REVIEW THE
INFORMATION TO
MAKE SURE
EVERYTHING IS
CORRECT
BEFORE
SUBMITTING
 March 2023

VOUCHERS PAY.
DISCRIMINATION DOESN’T.

Vouchers Should Always be Accepted Towards Rent and

Security Deposits
“Lawful source of income” is a protected category under the NYC Human Rights Law and includes any federal,
state, or local public or housing assistance towards the payment of rent, such as Section 8, Supplemental
Security Income (SSI), HIV/AIDS Services Administration (HASA), CITYFHEPS, FHEPS, and the Veterans’ GI
Bill, among others. Security deposits and one-time emergency grants (“one shot deals”), intended to assist
paying rent, security deposits, move-in fees or broker fees are also protected under the NYC Human Rights
Law.
The Commission works to ensure that all New Yorkers can have access to housing in New York City. The
Commission can fine landlords and brokers and require that they pay damages to tenants or prospective
tenants if they violate the NYC Human Rights Law.

5 Things You Need to Know:

1. Nearly all rentals, including apartments located in co-op and condo buildings, are prohibited
from violating the NYC Human Rights Law or state law protections against source of income
discrimination.
2. Brokers, landlords and any other housing agent cannot discourage you from applying for an
apartment because you wish to pay your rent or security deposit with a voucher. Your public
assistance or voucher income does not disqualify you or place you in a disadvantageous position when
applying for an apartment.
3. “No Vouchers Accepted” ads are illegal. It is unlawful for landlords and housing agents to publish any
type of online, print, or broadcast advertisements that indicate a refusal to accept public or housing
assistance programs, or vouchers.
4. Your landlord cannot refuse or delay making repairs to your home because you pay rent with a
form of public or housing assistance. Your landlord must make the repairs necessary to pass inspection
for your program.
5. You have the right to be free from harassment or discrimination based on your protected status,
including by other tenants in your building.

Phrases like this could “Your Section 8 “You were supposed

to tell me first you “We accept
indicate discrimination Voucher does not count “That landlord qualify for Section 8. everything
as income so you don’t doesn’t accept
based on your lawful meet the minimum HASA.”
You can’t spring this except
on me during the CITYFHEPS.”
source of income: income requirement.” application process.”

If you have experienced lawful source of income discrimination, report it. Contact the NYC Commission on
Human Rights by calling the Commission’s Infoline at 212-416-0197. For more information and to download
Fair Housing materials, visit NYC.gov/HumanRights.

NYC.gov/HumanRights
@NYCCHR
1
 2024 Version with Family Size
Without With With No
Family Number of All Utilities
Cooking Gas Cooking Electric Utilities
Size Bedrooms Included
& Electric Gas Only Only Included
1 SRO* $1,967 N/A N/A N/A N/A
1 0 $2,624 $2,525 $2,550 $2,599 $2,440
(Studio)
1 or 2 1 $2,696 $2,584 $2,612 $2,668 $2,484
3 or 4 2 $3,027 $2,885 $2,918 $2,994 $2,762
5 or 6 3 $3,777 $3,606 $3,643 $3,740 $3,464
7 or 8 4 $4,070 $3,868 $3,910 $4,028 $3,705
9 or 10 5 $4,680 $4,448 $4,494 $4,634 $4,263
11 or 12 6 $5,291 $5,059 $5,105 $5,245 $4,874
13 or 14 7 $5,901 $5,669 $5,715 $5,855 $5,484
15 or 16 8 $6,512 $6,280 $6,326 $6,466 $6,095
17 or 18 9 $7,122 $6,890 $6,936 $7,076 $6,705
19 or 20 10 $7,733 $7,501 $7,547 $7,687 $7,316

* For Single Room Occupancy (SRO) units, all utilities must be included in the rent.