Two Plus Four Management

Two Plus Four Management

315-437-2178

Two Plus Four Management - Application for Housing

If you are done filling out the forms, please click on the "Submit" button at the bottom of the screen.
If you are done filling out the forms, please click on the "Submit" button at the bottom of the screen.
  • 1 Application Assistance and Information Statement
    Please click here to download a printable version of the Two Plus Four Management - Application Assistance and Information Statement and fill out manually

    Application Assistance and Information Statement

    Applying for the following property

    If you are disabled, or have difficulty completing this application, please advise us of your needs when you receive this application, or call us to schedule assistance.

    If you have a hearing impairment, the TDD relay service number is # 711 during the same hours.

    Appropriate assistance will be provided in a confidential manner and setting.

    Answering questions on your application:
    Please answer all questions truthfully. We will verify your answers. Any misrepresentation of information related to eligibility, preference for admission, allowances, rent, family composition or prior resident history is grounds for rejection. Additionally, you should be aware that Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful, false statements or misrepresentations of any material fact involving the use of or obtaining federal funds.
    Answering questions relating to a disability:
    Answers to questions on your application concerning disability status are optional, but please note that families with disabled members may be entitled to (1) certain deductions from income that affect rent or (2) units designed to be accessible for individuals with disabilities. So, without this information we may not be able to calculate your rent correctly or verify your eligibility to live in an accessible unit.
    If you answer the questions relating to disability, we will need to verify that you or a household member is  disabled. We do not need to know the nature, extent, or current condition of the disability, but we will need to know that you meet the federal definitions that apply to these terms and that you can abide by the terms of our lease.

    Information you provide on a disability status will be treated as confidential by management. In accordance with program regulations, information may be released to appropriate federal, state or local agencies.
    Housing Requirements Questionnaire:
    Please complete the Housing Requirements Questionnaire that accompanies your application. This information is needed so that we may assign you a unit appropriate to any needs that exist for your household. Your answers will be verified. If, however, there are no household members with a disability, or if you do not wish to complete the document for any reason, simply indicate that choice in the space provided at the top of the document. The choice not to complete this document will not in any way affect the processing of your application for an apartment.

    Notice to All Applicants: Options for Applicants with Disabilities

    This property is managed by Two Plus Four Management Company, Inc., 6737 Myers Road, East Syracuse, New York 13057.  We provide assisted housing to the general public under New York State.  We are not permitted to discriminate against applicants on the basis of their race, color, religion, sex, national origin, familial status or disability. In addition, we have an obligation to provide "reasonable accommodations" to applicants if they or any household members have a disability. Compliance actions may include reasonable accommodations as well as structural modifications to the unit or premises.

    A reasonable accommodation is some modification or change that we can make to the policies or procedures that will assist an otherwise eligible applicant with a disability to take advantage of the programs under which we operate. Examples of reasonable accommodations and structural modifications include, but are not limited to:
    • Making reasonable alterations to a unit so it could be used by a household member with a wheelchair;
    • Installing strobe type flashing-light smoke detectors in an apartment for a household with a hearing-impaired member;
    • Permitting a household to have a seeing-eye dog to assist a vision-impaired household member where existing pet rules would not allow the dog;
    • Making large type documents or a reader available to a vision-impaired applicant during the application process;
    • Making a sign language interpreter available to a hearing-impaired applicant during the application process;
    • Permitting an outside agency to assist an applicant with a disability to meet the property's applicant screening criteria.
    An applicant household that has a member with a disability must still be able to meet essential obligations of tenancy--they must be able to pay rent, to maintain their apartment in a safe and sanitary condition, to report required information to the building manager, to avoid disturbing their neighbors, etc., but there is no requirement that they be able to do these things without assistance.

    If you or a member of your household have a disability and think you might need or want a reasonable accommodation, you may request it at any time in the application process or after admission. This is up to you. If you would prefer not to discuss your situation with management, that is your right.

    The next page of this application is a Housing Requirements Questionnaire. If you wish to complete the document and provide management with information regarding any household member with a  disability, please do so. If no household member has a  disability, or if you do not wish to complete the questionnaire for any reason, please indicate so, sign the form, and return to the manager.

    Housing Requirements Questionnaire

    Please read the following regarding this questionnaire:

    This questionnaire is administered to every applicant. It is used to determine whether your household needs special features in their housing unit. The need for special adaptations must be verified in order to assure that the limited number of units with special features go to families that actually need the features.

    Completing this questionnaire is optional on your part. If you choose not to complete this form, please check the box that indicates that choice, sign and date the form, and return it to the manager. The choice not to complete this questionnaire will not in any way affect the processing of your application for an apartment.

    If you choose to complete this form, please check the box that indicates your choice to furnish this information, complete the information requested, sign and date the form and return it to the manager.

    Applicant election to provide special needs information:
    Name of Head of Household
    *
    SS#
    *

    Applicant's signature
    *
    Date
    *
    Information relative to the housing requirements of applicant's household
    Do you, or does any member of you household, have a condition that requires:

    If you checked any of the above-listed categories of units, please explain exactly what you need to accommodate your situation:
    What is the name of the household member who needs the features identified above?

    If "Yes", please indicate how we may accommodate your household

    Who should be contacted to verify your need for the features you have identified above (e.g. a doctor or social service agency)?
    Name
    Tel #
    Address
    City, State, Zip
  • 2 Rental Application
    Please click here to download a printable version of the Two Plus Four Management - Rental Application and fill out manually

    Application

    YOU MUST USE THE CORRECT LEGAL NAME FOR EACH MEMBER OF YOUR HOUSEHOLD AS IT APPEARS ON THE SOCIAL SECURITY CARD.  LIST TENANT FIRST, CO-TENANT SECOND, OTHER MEMBERS OF HOUSEHOLD THIRD ETC.  ALL INFORMATION IS KEPT CONFIDENTIAL.

    (If you are unable to fill out this application someone will fill it out for you or you may choose someone to fill it out. That person must sign the last page as the person whose handwriting appears on the form.)

    Applications are placed in order of date and time received. An applicant may be interviewed only after the receipt of this tenant application. Every question must be answered. Do NOT leave blanks. Use N/A when not applicable.
    Property Name

    A. GENERAL INFORMATION

    Applicant Name
    *
    Address
    *
    City
    *
    State
    *
    ZIP
    *
    Email address
    *
    Daytime Phone
    Evening Phone
    No. of BR's in current Unit
    Do you
    *
    Amount of current monthly rental or mortgage payment

    How did you hear about the apartment complex?

    what kind?
    Bedroom size requested

    B. HOUSEHOLD COMPOSITION

    Name
    *
    Relationship to head
    *
    If Head of Household, enter "Self"
    Birth Date
    *
    Age
    SS#
    *
    (last 4 digits)
    Student
    *

    Explain custody agreement (proof of custody may be required)
    *

    explain
    *

    explain
    *

    explain
    *

    explain
    *

    C. INCOME

    List ALL sources of income.

    Social Security
    Household Member Name
    *
    Gross Monthly Amount
    *
    SSI Benefits
    Household Member Name
    *
    Gross Monthly Amount
    *
    Pension
    Household Member Name
    *
    Gross Monthly Amount
    *
    Source
    *
    Veteran's Benefits
    Household Member Name
    *
    Gross Monthly Amount
    *
    Claim #
    *
    Unemployment Compensation
    Household Member Name
    *
    Gross Monthly Amount
    *
    Public Assistance (Title IV/TANF etc.)
    Household Member Name
    *
    Gross Monthly Amount
    *
    Contributions to the Household (monetary or not)
    Household Member Name
    *
    Gross Monthly Amount
    *
    Full-Time Student Income (18 & Over Only)
    Household Member Name
    *
    Gross Monthly Amount
    *
    Financial Aid (excluding loans)
    Household Member Name
    *
    Gross Monthly Amount
    *
    Annuities
    Household Member Name
    *
    Gross Monthly Amount
    *
    Source
    *
    Long Term Medical Care Insurance Payments in excess of $180/day
    Household Member Name
    *
    Gross Monthly Amount
    *
    Scheduled Payments from Investments
    Household Member Name
    *
    Gross Monthly Amount
    *
    Retirement Account Payments (including RMDs)
    Household Member Name
    *
    Gross Monthly Amount
    *
    Rental Property
    Household Member Name
    *
    Gross Monthly Amount
    *
    Employment Income
    Household Member Name
    *
    Monthly Amount
    *
    Employer
    *
    Position Held
    *
    How long employed?
    *
    Previous Employment Income (last 60 days)
    Household Member Name
    *
    Monthly Amount
    *
    Employer
    *
    Position Held
    *
    How long employed?
    *
    Alimony
    Household Member Name
    *
    Gross Monthly Amount
    *
    Child Support
    Household Member Name
    *
    Gross Monthly Amount
    *
    Gig Income (ex: Uber, Door Dash etc.)
    Household Member Name
    *
    Gross Monthly Amount
    *
    Self Employment, Day laborer, Independent contractor, Seasonal worker
    Household Member Name
    *
    Gross Monthly Amount
    *
    Other Income
    Household Member Name
    *
    Gross Monthly Amount
    *
    TOTAL GROSS ANNUAL INCOME
    *
    (Based on the monthly amounts listed above x 12)
    TOTAL GROSS ANNUAL INCOME FROM PREVIOUS YEAR
    *

    explain
    *

    D. ASSETS

    (even if jointly held)

    Checking Accounts

    Account Number
    *
    Bank
    *
    Balance
    *

    Savings Accounts

    Account Number
    *
    Bank
    *
    Balance
    *

    Trust Account

    (revocable or irrevocable)
    Account Number
    *
    Bank
    *
    Balance
    *

    Debit cards not associated with a checking account

    ex: Direct Express
    Account Number
    *
    Bank
    *
    Balance
    *

    Certificates of Deposit

    Account Number
    *
    Bank
    *
    Balance
    *

    Money Market Accounts

    Account Number
    *
    Bank
    *
    Balance
    *

    Savings Bonds

    Account Number
    *
    Maturity Date
    *
    Value
    *

    Peer-to-peer

    Venmo, PayPal, Apple Pay
    Name
    *
    Balance
    *

    Sport vehicle or other Non-necessary Personal Property

    Type
    *
    Value
    *

    Collection or other Non-necessary Personal Property

    coin collection
    Type
    *
    Value
    *

    Deed of Trust/Loan

    (you loaned someone money and they are paying you back with or without interest)
    Type
    *
    Balance
    *

    Life Insurance Policy

    Policy Number
    *
    Cash Value
    *

    Cash on Hand

    Amount
    *

    Digital Banking

    Cash App
    Name
    *
    Balance
    *

    Mutual Funds

    Name
    *
    Number of Shares
    *
    Interest or Dividend
    *
    Value
    *

    Stocks

    Name
    *
    Number of Shares
    *
    Dividend Paid
    *
    Value
    *

    Bonds

    Name
    *
    Number of Shares
    *
    Interest or Dividend
    *
    Value
    *

    Crowd Funding Account

    ex: GoFundMe, Kickstarter
    Type
    *
    Balance
    *

    Investment Accounts

    (accounts that include stocks, bonds, and other like investments)
    Account Number
    *
    Value
    *

    Investments in Precious metals including gold, silver, copper, etc.

    Type
    *
    Value
    *

    Crypto-Currency

    (Bitcoin, Altcoins, Crypto coins, etc.)
    Type
    *
    Value
    *

    Special Needs Trust

    Name
    *
    Balance
    *

    Real Property

    Does any family member own ...

    Market Value
    *
    Cost to Sell
    *
    Cash Value
    *

    Market Value
    *
    Cost to Sell
    *
    Cash Value
    *
    Rental Income
    *
    Rental Income Frequency
    *
    Annual Expenses
    *

    Market Value
    *
    Cost to Sell
    *
    Cash Value
    *

    Market Value
    *
    Cost to Sell
    *
    Cash Value
    *
    * Cash value is defined as market value minus the cost of converting the asset to cash, such as broker’s fees, settlement costs, outstanding loans, early withdrawal penalties, etc. Basically, how much money would you receive if you converted the asset to cash. If you do not know, please leave this field blank and we will assist you in deriving the cash
    value of your assets.

    Assets Disposed of For Less Than Fair Market Value

    During the previous two-year (24-month) period I have disposed of assets for less than fair market value as indicated below:

    (to  Churches, Charities, Individuals, etc.)

    (this identifies property that was given away or sold for substantially less than current real estate market would bear such a Quit Claim)

    (for ex: giving a child stock or mutual funds or setting up a trust for someone who does not live in the unit)

    Cash Contributions or Gifts 

    (to Churches, Charities, Individuals, etc.)
    Date Disposed
    *
    Amount
    *

    Property sold for less than fair market value 

    (this identifies property that was given away or sold for substantially less than current real estate market would bear such a Quit Claim)
    Date Disposed
    *
    Amount
    *

    Trust/Savings/Investment Accounts opened for another person

    Date Disposed
    *
    Amount
    *

    Transfer of Assets for Free or For Less than Market Value

    (for ex: giving a child stock or mutual funds or setting up a trust for someone who does not live in the unit)
    Date Disposed
    *
    Amount
    *

    Other

    Date Disposed
    *
    Amount
    *

    E. ADDITIONAL INFORMATION

    Please describe
    *

    F. REFERENCE INFORMATION

    Current Landlord

    Name
    *
    How Long?
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *
    Cell Phone
    *
    Email
    *

    Prior Landlord

    Name
    *
    How Long?
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *
    Cell Phone
    *
    Email
    *

    Credit Reference #1

    Name
    *
    Account #
    *
    Phone #
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *

    Credit Reference #2

    Name
    *
    Account #
    *
    Phone #
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *

    Personal Reference #1

    Name
    *
    Relationship
    *
    Phone #
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *

    Personal Reference #2

    Name
    *
    Relationship
    *
    Phone #
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *

    Personal Reference #3

    Name
    *
    Relationship
    *
    Phone #
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *

    In case of emergency notify

    Name
    *
    Relationship
    *
    Phone #
    *
    Address
    *
    City
    *
    State
    *
    Zip
    *

    G. VEHICLE AND PET INFORMATION

    (if applicable)
    List any cars, trucks, or other vehicles owned. Parking will be provided for one vehicle. Arrangements with Management will be necessary for more than one vehicle.

    * Please note the property may only allow service/support animals

    Type of Vehicle
    *
    License Plate #
    *
    Year/Make
    *
    Color
    *
    Please describe the pets you own
    *

    H. APPLICATION ASSISTANCE

    The information regarding race, ethnicity, and sex designation solicited on this application is requested in order to assure the Federal Government that the Federal laws prohibiting discrimination against tenant applications on the basis of race, color, national origin, religion, sex, familial status, age, and disability are complied with. You are not required to furnish this information but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race, ethnicity, and sex of individual applicants on the basis of visual observation or surname.
    Ethnicity
    Race
    Gender

    CERTIFICATION

    I/We hereby certify that I/We Do/Will Not maintain a separate subsidized rental unit in another location. I/We further certify that this will be my/our permanent residence. I/We understand I/We must pay a security deposit for this apartment prior to occupancy. I/We understand that my eligibility for housing will be based on applicable income limits and by management’s selection criteria. I/We certify that all information in this application is true to the best of my/our knowledge, and I/We understand that false statements or information are punishable by law and will lead to cancellation of this application or termination of tenancy after occupancy. All adult applicants, 18 or older, must sign and date the application.

    SIGNATURE(S)

    Signature of Tenant
    *
    Date
    *
    Signature of Co-Tenant
    Date

    AUTHORIZATION

    I/WE DO HEREBY AUTHORIZE TWO PLUS FOUR MANAGEMENT COMPANY AND ITS STAFF OR AUTHORIZED REPRESENTATIVES TO CONTACT ANY AGENCIES, OFFICES, GROUPS OR ORGANIZATIONS TO OBTAIN AND VERIFY ANY INFORMATION OR MATERIALS WHICH ARE DEEMED NECESSARY TO COMPLETE MY/OUR APPLICATION FOR HOUSING IN THIS PROPERTY MANAGED BY TWO PLUS FOUR MANAGEMENT COMPANY.

    SIGNATURES

    Applicant
    *
    Date Signed
    *
    Co-Tenant
    Date
    Signature of Person Filling Out Form for Tenant
    *
  • 3 Know Your Rights
    Please click here to download a printable version of the Two Plus Four Management - Know Your Rights and fill out manually

    Know Your Rights: New York State’s Credit & Housing Court Policy for Applicants to State-Funded Housing

    Under new policy, a housing provider/landlord cannot automatically deny your application to state-funded rental housing based solely on your credit score or housing court history. If you have poor credit or negative housing court history, you must be provided with the opportunity to present additional information to explain or refute the findings.

    What is the policy?

    • You CANNOT be rejected because of your credit score or housing court history if:
      • Your FICO credit score is 580 or above (or 500 if you are homeless),
      • You have limited or nonexistent credit history,
      • Rent subsidies pay your entire rent,
      • Your credit or housing court history is a direct result of a Violence Against Women Act (VAWA)-covered crime (like domestic violence, stalking or harassment), or
      • You have a history of bankruptcy, eviction due to non-payment of rent, or outstanding debt but present evidence of on-time rental payments over the past 12 months.
    • You CANNOT be rejected based on:
      • Medical debt or student loan debt.
      • Bankruptcies that occurred over 1 year ago.
      • Unpaid debt that is less than $5,000.
      • Evictions that occurred over 2 years ago
      • Evictions that were not for-cause (like non-payment of rent).
      • Evictions where you were restored to the premises by the court.

    What are my rights?

    • Before rejecting your application, you must be given 14 days to present evidence of circumstances that explain negative credit and housing court findings.
    • The housing provider/landlord must conduct an individual evaluation that takes mitigating information, such as errors in the credit report and short-term periods of unemployment/illness, into account.
    • If you are denied, you must be told why and you must be provided with a copy of your credit report.
    Find more information here: https://hcr.ny.gov/FEHO-Credit-Policy-Guide Fair and Equitable Housing Office: feho@nyshcr.org.

    Notice of Occupancy Rights under the Violence Against Women Act1

    To all Tenants and Applicants

    The Violence Against Women Act (VAWA) provides protections for victims of domestic violence, dating violence, sexual assault, or stalking. VAWA protections are not only available to women, but are available equally to all individuals regardless of sex, gender identity, or sexual orientation.2 This notice explains your rights under VAWA. A HUD-approved certification form is attached to this notice. You can fill out this form to show that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking, and that you wish to use your rights under VAWA.

    Protections for Applicants

    If you otherwise qualify for the rental housing or program, you cannot be denied admission or denied assistance because you are or have been a victim of domestic violence, dating violence,sexual assault, or stalking.

    Protections for Tenants

    You may not be denied assistance, terminated from participation, or be evicted from your rental housing because you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking.

    Also, if you or an affiliated individual of yours is or has been the victim of domestic violence, dating violence, sexual assault, or stalking by a member of your household or any guest, you may not be denied rental assistance or occupancy rights solely on the basis of criminal activity directly relating to that domestic violence, dating violence, sexual assault, or stalking. Affiliated individual means your spouse, parent, brother, sister, or child, or a person to whom you stand in the place of a parent or guardian (for example, the affiliated individual is in your care, custody, or control); or any individual, tenant, or lawful occupant living in your household.

    Removing the Abuser or Perpetrator from the Household

    [Insert the project name, owner, or covered housing provider (acronym HP for purposes of this document)] may divide (bifurcate) your lease in order to evict the individual or terminate the assistance of the individual who has engaged in criminal activity (the abuser or perpetrator) directly relating to domestic violence, dating violence, sexual assault, or stalking. If HP chooses to remove the abuser or perpetrator, HP may not take away the rights of eligible tenants to the unit or otherwise punish the remaining tenants. If the evicted abuser or perpetrator was the sole tenant to have established eligibility for assistance under the program, HP must allow the tenant who is or has been a victim and other household members to remain in the unit for a period of time, in order to establish eligibility under the program or under another HUD housing program covered by VAWA, or, find alternative housing. In removing the abuser or perpetrator from the household, HP must follow Federal, State, and local eviction procedures. In order to divide a lease, HP may, but is not required to, ask you for documentation or certification of the incidences of domestic violence, dating violence, sexual assault, or stalking.

    Moving to Another Unit

    Upon your request, HP may permit you to move to another unit, subject to the availability of other units, and still keep your assistance. In order to approve a request, HP may ask you to provide documentation that you are requesting to move because of an incidence of domestic violence, dating violence, sexual assault, or stalking. If the request is a request for emergency transfer, the housing provider may ask you to submit a written request or fill out a form where you certify that you meet the criteria for an emergency transfer under VAWA. The criteria are:

    1. You are a victim of domestic violence, dating violence, sexual assault, or stalking. If your housing provider does not already have documentation that you are a victim of domestic violence, dating violence, sexual assault, or stalking, your housing provider may ask you for such documentation, as described in the documentation section below.
    2. You expressly request the emergency transfer. Your housing provider maychoose to require that you submit a form or may accept another written or oral request.
    3. You reasonably believe you are threatened with imminent harm fromfurther violence if you remain in your current unit. This means you have a reason to fear that if you do not receive a transfer you would suffer violence in the very near future. OR You are a victim of sexual assault and the assault occurred on the premises during the 90-calendar-day period before you request a transfer. If you are a victim of sexual assault, then in addition to qualifying for an emergency transfer because you reasonably believe you are threatened with imminent harm from further violence if you remain in your unit, you may qualify for an emergency transfer if the sexual assault occurred on the premises of the property from which you are seeking your transfer, and that assault happened within the 90-calendar-day period before you expressly request the transfer.

    HP will keep confidential requests for emergency transfers by victims of domestic violence, dating violence, sexual assault, or stalking, and the location of any move by such victims and their families.

    HP’s emergency transfer plan provides further information on emergency transfers, and HP must make a copy of its emergency transfer plan available to you if you ask to see it.

    Documenting You Are or Have Been a Victim of Domestic Violence, Dating Violence, Sexual Assault or Stalking

    HP can, but is not required to, ask you to provide documentation to “certify” that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking. Such request from HP must be in writing, and HP must give you at least 14 business days (Saturdays, Sundays, and Federal holidays do not count) from the day you receive the request to provide the documentation. HP may, but does not have to, extend the deadline for the submission of documentation upon your request.

    You can provide one of the following to HP as documentation. It is your choice which of the following to submit if HP asks you to provide documentation that you are or have been a victim of domestic violence, dating violence, sexual assault, or stalking.

    • A complete HUD-approved certification form given to you by HP with this notice, that
    • documents an incident of domestic violence, dating violence, sexual assault, or stalking.
    • The form will ask for your name, the date, time, and location of the incident of domestic violence, dating violence, sexual assault, or stalking, and a description of the incident. The certification form provides for including the name of the abuser or perpetrator if the name of the abuser or perpetrator is known and is safe to provide.
    • A record of a Federal, State, tribal, territorial, or local law enforcement agency, court, or administrative agency that documents the incident of domestic violence, dating violence, sexual assault, or stalking. Examples of such records include police reports, protective orders, and restraining orders, among others.
    • A statement, which you must sign, along with the signature of an employee, agent, or volunteer of a victim service provider, an attorney, a medical professional or a mental health professional (collectively, “professional”) from whom you sought assistance in addressing domestic violence, dating violence, sexual assault, or stalking, or the effects of abuse, and with the professional selected by you attesting under penalty of perjury that he or she believes that the incident or incidents of domestic violence, dating violence, sexual assault, or stalking are grounds for protection.
    • Any other statement or evidence that HP has agreed to accept.

    If you fail or refuse to provide one of these documents within the 14 business days, HP does not have to provide you with the protections contained in this notice.

    If HP receives conflicting evidence that an incident of domestic violence, dating violence, sexual assault, or stalking has been committed (such as certification forms from two or more members of a household each claiming to be a victim and naming one or more of the other petitioning household members as the abuser or perpetrator), HP has the right to request that you provide third-party documentation within thirty 30 calendar days in order to resolve the conflict. If you fail or refuse to provide third-party documentation where there is conflicting evidence, HP does not have to provide you with the protections contained in this notice.

    Confidentiality

    HP must keep confidential any information you provide related to the exercise of your rights under VAWA, including the fact that you are exercising your rights under VAWA.

    HP must not allow any individual administering assistance or other services on behalf of HP (for example, employees and contractors) to have access to confidential information unless for reasons that specifically call for these individuals to have access to this information under applicable Federal, State, or local law.

    HP must not enter your information into any shared database or disclose your information to any other entity or individual. HP, however, may disclose the information provided if:

    • You give written permission to HP to release the information on a time limited basis.
    • HP needs to use the information in an eviction or termination proceeding, such as to evict your abuser or perpetrator or terminate your abuser or perpetrator from assistance under this program.
    • A law requires HP or your landlord to release the information.

    VAWA does not limit HP’s duty to honor court orders about access to or control of the property. This includes orders issued to protect a victim and orders dividing property among household members in cases where a family breaks up.

    Reasons a Tenant Eligible for Occupancy Rights under VAWA May Be Evicted or Assistance May Be Terminated

    You can be evicted and your assistance can be terminated for serious or repeated lease violations that are not related to domestic violence, dating violence, sexual assault, or stalking committed against you. However, HP cannot hold tenants who have been victims of domestic violence, dating violence, sexual assault, or stalking to a more demanding set of rules than it applies to tenants who have not been victims of domestic violence, dating violence, sexual assault, or stalking.

    The protections described in this notice might not apply, and you could be evicted and your assistance terminated, if HP can demonstrate that not evicting you or terminating your assistance would present a real physical danger that:

    1. Would occur within an immediate time frame, and
    2. Could result in death or serious bodily harm to other tenants or those who work on the property. If HP can demonstrate the above, HP should only terminate your assistance or evict you if there are no other actions that could be taken to reduce or eliminate the threat.

    Other Laws

    VAWA does not replace any Federal, State, or local law that provides greater protection for victims of domestic violence, dating violence, sexual assault, or stalking. You may be entitled to additional housing protections for victims of domestic violence, dating violence, sexual assault, or stalking under other Federal laws, as well as under State and local laws.

    For Additional Information

    If you feel that they have been incorrectly denied your rights under VAWA, you should contact NYS Homes and Community Renewal (HCR) at FEHO@hcr.ny.gov.

    For help regarding an abusive relationship, you may call the National Domestic Violence Hotline at 1-800-799-7233 or, for persons with hearing impairments, 1-800-787-3224 (TTY).

    For tenants who are or have been victims of stalking seeking help may visit the National Center for Victims of Crime’s Stalking Resource Center at https://www.victimsofcrime.org/our-programs/stalking-resource-center.

    HCR has also created the HCR VAWA Local Services Provider List of local organizations, including housing and legal service providers, that support individuals who are or have been victims of domestic violence, available at https://hcr.ny.gov/system/files/documents/2018/11/hcrvawaresourcelist.pdf

    You may view a copy of HUD’s final VAWA rule at https://www.federalregister.gov/documents/2016/12/06/2016-29213/violence-against-women-reauthorization-act-of-2013-implementation-in-hud-housing-programs-correction.

    Additionally, HP must make a copy of HUD’s VAWA regulations available to you if you ask to see them.

    Attachment: Certification form HUD-5382

    1 Despite the name of this law, VAWA protection is available regardless of sex, gender identity, or sexual orientation.

    2 Housing providers cannot discriminate on the basis of any protected characteristic, including race, color, national origin, religion, sex, familial status, disability, or age. HUD-assisted and HUD-insured housing must be made available to all otherwise eligible individuals regardless of actual or perceived sexual orientation, gender identity, or marital status.

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