Dismissal Request Form Instructions for NYC Housing
This file contains the Dismissal Request Form for property violation inspections by the NYC Department of Housing Preservation and Development. It provides guidelines and requirements for owners and managing agents to request inspections for dismissing violations. Follow the straightforward instructions to ensure proper submission and compliance with NYC regulations.
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How do I fill this out?
To fill out the Dismissal Request Form, carefully read the instructions provided in the document. Ensure that all necessary sections are completed accurately with the relevant property details. Submit the completed form along with the appropriate fee to the designated office.

How to fill out the Dismissal Request Form Instructions for NYC Housing?
1
Gather the property information including address and violation numbers.
2
Complete the requestor information section with current contact details.
3
Indicate whether you are the owner or managing agent by selecting the proper checkbox.
4
Sign and date the form to validate your request.
5
Mail the form along with the required fee to the Code Enforcement Borough Office.
Who needs the Dismissal Request Form Instructions for NYC Housing?
1
Property owners looking to clear violations.
2
Managing agents who are responsible for property compliance.
3
Tenants seeking to report issues needing inspection.
4
Real estate professionals assisting clients with property management.
5
Attorneys representing property owners in compliance matters.
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What are the instructions for submitting this form?
To submit the Dismissal Request Form, mail the completed form and a certified check or money order, payable to NYC Department of Finance, to the Code Enforcement Borough Office corresponding to your property's location. Include the Property Registration Number on your payment method. Ensure that your form is signed, and send it to the following addresses based on your borough: Manhattan - 94 Old Broadway, Bronx - 1932 Arthur Avenue, Brooklyn - 701 Euclid Avenue, Queens - 120-55 Queens Boulevard, Staten Island - Borough Hall, 10 Richmond Terrace.
What are the important dates for this form in 2024 and 2025?
For the Dismissal Request Form, submit requests early in the year to ensure timely inspections. Between June 1st and September 30th, HPD aims to complete inspections within 45 business days. From October 1st to May 31st, the time frame expands to 90 business days.

What is the purpose of this form?
The Dismissal Request Form serves as a formal request for property owners and managing agents to seek inspections for dismissing open violations. This program aims to ensure that properties comply with housing regulations established by the Department of Housing Preservation and Development. By using this form, requestors can take proactive steps to maintain their property's compliance status and avoid further penalties.

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

- 1. Building Address: The complete address of the property to be inspected.
- 2. Number of Dwelling Units: Indicates how many residential units the property contains.
- 3. Borough: Specifies the borough in which the property is located.
- 4. Property Registration Number: The unique identifier assigned to the property for registration.
- 5. Violation Numbers: Lists the specific violation numbers that are being addressed in the request.
- 6. Requestor Information: Details about the person submitting the request, including name, address, and contact information.
- 7. Signature and Date: Confirms the requestor's agreement and the date of submission.
What happens if I fail to submit this form?
Failure to submit the Dismissal Request Form may result in the continued listing of open violations on the property. This can lead to penalties, additional fees, and potential legal actions from the housing department. It is crucial for property owners to address violations promptly to maintain compliance.
- Ongoing Violations: Open violations will remain on record, potentially resulting in fines.
- Legal Actions: Failure to address violations may result in legal proceedings by the housing authority.
- Impact on Property Value: Open violations can negatively affect the marketability and valuation of the property.
How do I know when to use this form?

- 1. Post-Violation Notice: Submit this form after receiving a violation notice for your property.
- 2. Seeking Inspection: Use the form to request an official inspection for the purpose of dismissing violations.
- 3. Maintaining Compliance: Essential for property owners wanting to ensure their property meets all regulations.
Frequently Asked Questions
What is the Dismissal Request Form?
The Dismissal Request Form is used to request an inspection for dismissing open violations on properties managed by the NYC Department of Housing Preservation and Development.
Who can submit this form?
Only the property owner or managing agent listed on the Property Registration can submit this form.
How do I submit the Dismissal Request Form?
You can submit the form by mailing it to the appropriate Code Enforcement Borough Office along with the required fee.
What is the fee for submitting this form?
The fee varies based on the dwelling classification and number of open violations. Please refer to the fee schedule provided in the instructions.
What happens after I submit the form?
Once submitted, you will receive a confirmation and an inspection will be scheduled within the specified time frame.
Can I edit the PDF before submitting?
Yes, you can easily edit the PDF using PrintFriendly's tools before finalizing your submission.
How long does it take to receive inspection results?
Results are mailed to the requestor as soon as possible after the inspection, typically within a few weeks.
What if my form is rejected?
If your application is not acceptable, you will receive a rejection letter detailing the reasons, and you may resubmit after addressing those issues.
Are there conditions that can lead to form rejection?
Yes, the form can be rejected if there is no valid property registration or if there are unresolved emergency repair charges.
Is the Dismissal Request Form available online?
Yes, you can complete and edit the Dismissal Request Form using PrintFriendly online before downloading it.
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