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How do I fill this out?
To fill out this form, carefully read the questions provided. Mark the appropriate boxes to indicate your answers, and complete any attachments if necessary. Ensure that all required signatures and dates are included before submission.

How to fill out the Conflict of Interest Disclosure Form NYC?
1
Read the questions thoroughly.
2
Mark 'Yes' or 'No' for each question.
3
Complete additional attachments if required.
4
Print the completed form.
5
Sign and date the form before submission.
Who needs the Conflict of Interest Disclosure Form NYC?
1
Homeowners applying for housing assistance via NYC programs.
2
Real estate agents representing property owners in NYC.
3
Contractors seeking compliance within the NYC Build it Back program.
4
City officials needing to assess conflict of interest scenarios.
5
Individuals requiring documentation for transparency in asset management.
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What are the instructions for submitting this form?
The completed Conflict of Interest Disclosure Form can be submitted through multiple channels. Mail your forms to 14 Murray St, #150 New York, NY 10007, or fax them to 646-500-7185. Alternatively, you can email the documents to builditbackdocuments@recovery.nyc.gov. Make sure all required information is provided and signed before submission.
What are the important dates for this form in 2024 and 2025?
Important dates for form submissions include regular review periods set by the NYC housing recovery office. Ensure to check for updates regarding deadlines on program assistance every quarter in 2024 and 2025.

What is the purpose of this form?
The purpose of this form is to identify potential conflicts of interest that may arise during the housing recovery process in NYC. It aims to maintain transparency and integrity within the program by requiring applicants to disclose relationships with covered employees. Proper completion of this form is crucial for receiving any housing assistance and avoiding penalties.

Tell me about this form and its components and fields line-by-line.

- 1. Property Address: The physical address of the property requiring recovery assistance.
- 2. Covered Employee Questions: Questions to determine if the applicant or associated individuals are covered employees.
- 3. Signature: A field for the applicant's signature to verify the accuracy of disclosed information.
- 4. Attachment: A section for additional documentation, if required.
What happens if I fail to submit this form?
If you fail to submit this form, you may experience delays in receiving housing assistance or, in some cases, your application could be denied. Compliance with this requirement is essential for the integrity of the assistance programs offered.
- Application Delays: Delays in processing your application due to missing documentation can hinder timely assistance.
- Denial of Assistance: Failure to disclose necessary information may lead to denial of funding or support.
- Legal Implications: Non-compliance with conflict of interest laws may result in legal actions or penalties.
How do I know when to use this form?

- 1. Initial Application: Use the form when submitting your initial application for housing recovery.
- 2. Updating Information: If your personal or financial situation changes, this form should be updated.
- 3. Program Compliance: It is required for compliance with city regulations regarding potential conflicts.
Frequently Asked Questions
How do I fill out the Conflict of Interest Disclosure Form?
To complete the form, answer all questions accurately and provide any necessary attachments if indicated.
What should I do if I have a conflict of interest?
If you identify a conflict, disclose it in the appropriate section and follow any additional instructions provided.
Can I edit the PDF form on PrintFriendly?
Yes, PrintFriendly provides tools to edit PDF documents efficiently before downloading.
How do I submit the form once completed?
You can submit the form via mail, fax, or email to your designated Application Coordinator.
What if I need help while filling out the form?
Assistance is available through the NYC Mayor's Office of Housing Recovery Operations.
Is there a deadline for submitting this form?
Deadlines may vary based on your application type, so be sure to check specific program guidelines.
Can I save my changes on PrintFriendly?
You can download the edited PDF after making changes, ensuring you have the latest version.
Who reviews the submitted form?
Your submitted form will be reviewed by the NYC Housing Recovery Operations team.
What happens if I do not submit this form?
Failure to submit may result in delays or denial of assistance under the program.
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