Tenant Blacklisting Complaint

It is illegal for a landlord or broker to refuse to rent you housing because you were involved in a past or current landlord-tenant court case -- for example, if you were sued in a non-payment or other type of eviction case, or you sued to get repairs done.

Did you apply to rent housing in New York State?

Was your application denied?

Have you or anyone else included in the housing rental application ever been in court with your current or prior landlords? (for example, in an eviction case or to try to get repairs)

Do you believe your application was denied because of the prior or pending court case?

This form is for people who were denied the opportunity to rent an apartment in New York State because of prior or pending court actions with their landlord.

Your information

Full name

Street address

Apt #

City/Town

State

Zip/postal Code

Phone number

Email address

Address of the housing you applied for, including apt #, room # or floor #, if there is one

Landlord information

Are you complaining about a person or company?

Former or current landlord involved in this complaint

Former

Current

Full name

Street address

Phone number

Email address

Website

Company name

Street address

Phone number

Email address

Website

Management company information

Name of management company (if known or different from landlord)

Street address

Phone number

Email address

Website

Broker information

Full name

Company

Street address

Email address

Website

Additional questions

Why do you believe that you were denied housing because of your prior court case?

Did you receive a copy of the tenant screening report? If so, please attach.

Attach file

One file only.
50 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, docx.

What tenant screening report company did the landlord use?

Did the landlord ask for permission to contact your prior landlord?

Please describe in detail what happened