CityFHEPS Documents - HRA

Human Resources Administration

Serving New Yorkers with Care & Compassion


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Rental Assistance

Supportive Housing


CityFHEPS Documents

Important forms and documents for CityFHEPS applicants, clients, landlords, and others:

Application Documents

Website Clearance Checklist

Apartment Review Checklist

Apartment Review Guidance

Program Participant Agreement
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Room Rental Allocation Form (for rooms only)

Tenant Contact Information

Request for Emergency Assistance
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Additional Documents for Clients in Shelter

Cover Sheet

CityFHEPS Frequently Asked Questions for Clients in Shelter
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/eyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Documents for Community-Based and Provider Organizations

CBO Cover Sheet

Provider Verification of Eligibility

Apartment Walkthrough Outcome

Apartment and SRO Application
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Room Application
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

CityFHEPS Frequently Asked Questions for clients at risk of entering shelter
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Documents for Landlords and Brokers

Change of in Property Ownership

Change of Payee for CityFHEPS Payments

Change of Payment Address

Change in Tenancy

Landlord Information Form - Apartment Rentals

Landlord Information Form - Room and SRO Rentals

Unit Hold Incentive Voucher

Unit Hold Incentive Frequently Asked Questions

Security Voucher

Broker's Request for Enhanced Payment

Landlord/Broker Frequently Asked Questions

Attestation of Compliance for Addressing Potential Lead Based Paint Hazards

CityFHEPS Leasing Frequently Asked Questions

CityFHEPS To-Stay Housing Checklist

Special Supplemental Assistance Fund Fact Sheet

Special Supplemental Assistance Fund Claim Request Form

Utility Form for NYC Only

Landlord Utility Calculator for NYC

DSS CityFHEPS Payment Standards for NYC

CityFHEPS Rent Increase Frequently Asked Questions

Rent Reasonableness Frequently Asked Questions (FAQ)

DSS Rent Comparable Form

Preclearance and Walkthrough Frequently Asked Questions for Provider Staff

Frequently Asked Questions on Using a G704 as an Alternative to a Preclearance and Walkthrough

Additional Documents for Tenants

CityFHEPS Modification Request
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

CityFHEPS Renewal Request
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

CityFHEPS Renewal Frequently Asked Questions
Available in English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/বাংলা, Urdu/اردو, Polish/Polski, French/Français

Statewide CityFHEPS

New York City residents eligible for CityFHEPS can find housing across New York State. Statewide CityFHEPS is a rental assistance program that pays part of your monthly rent anywhere in New York State for up to five years.

Learn more about Statewide CityFHEPS

If you are a potential tenant:

Read the Statewide CityFHEPS Frequently Asked Questions for Tenants, available in: English, Spanish/Español, Chinese (Traditional)/繁體中文, Chinese (Simplified)/简体中文, Russian/Русский, Arabic/العربية, Haitian Creole/Kreyòl Ayisyen, Korean/한국어, Bengali/ বাংলা, Urdu/اردو, Polish/Polski, French/Français

Explore the maximum rent amount the program will cover in each county with the Statewide CityFHEPS Maximum Rents by County Tool

If you are a Landlord or Property Owner interested in participating in Statewide CityFHEPS, read the Landlord and Property Owners Frequently Asked Questions

Application Documents for Statewide CityFHEPS

Apartment Review Checklist - Outside New York City

Utility Form - Outside New York City