Contact the DOF EEO Office

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Contact the DOF Equal Employment Opportunity & Disability Services Facilitator

Tenant/Applicant Information

Full Name: *

Street Address:*

Apartment Number:

Borough or City: *
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Bronx

Brooklyn

Manhattan

Queens

Staten Island

State: *
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Alabama

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California

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District Of Columbia

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Illinois

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Iowa

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Louisiana

Maine

Maryland

Massachusetts

Michigan

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Mississippi

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Montana

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Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

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Ohio

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Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Zip Code: *

Phone Number: *

Email Address: *

If you are representing a tenant or applicant please complete this section:

Representative Name:

Street Address:

Apartment Number:

Borough or City:
-Select-

Bronx

Brooklyn

Manhattan

Queens

Staten Island

State:
-Select-

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District Of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Zip Code:

Email Address:

Please select the name of the program you need assistance with:

Program Name: *
-Select-

Rent Freeze for People with Disabilities (DRIE)

Rent Freeze for Seniors (SCRIE)

Disabled Homeowners Exemption (DHE)

Senior Citizen Homeowners' Exemption (SCHE)

Veterans Exemption

Other (Please enter the program name in the box below)

Other Program Name:

Please provide us with the details of your inquiry.

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