OFFICE OF THE ATTORNEY GENERAL LETITIA JAMES
STATE OF NEW YORK DEPARTMENT OF LAW
RENT SECURITY COMPLAINT FORM
Bureau of Consumer Frauds and Protection
28 Liberty Street
New York, NY 10005
Phone: (212) 416-8300 Fax: (212) 416-8787
Consumer Hotline
TDD (800) 788-9898
http://www.ag.ny.gov
(800) 771-7755
The Attorney General investigates complaints that a landlord has failed to place security deposits in trust accounts or to pay interest on rent
security deposits. We also try to assist tenants who complain that a landlord failed to return the rent security when the tenant moved out. If,
however, the landlord refuses to return your security deposit because your landlord says that you failed to pay rent or damaged the apartment,
you must generally go to Small Claims Court to resolve the dispute. Before forwarding this complaint to our office, you must attempt to resolve
the matter with your landlord.
Please complete this form only if your attempt to resolve your complaint with the landlord has been unsuccessful. Each tenant should submit
a separate complaint form. You may duplicate this form or obtain additional copies from our office.
Be sure to attach a copy (NOT THE ORIGINAL) of your lease, receipt or other evidence that you paid a security deposit and any other pertinent
letters or documents.
PLEASE PRINT
1. YOUR NAME:
ADDRESS (CURRENT)
Street No.
City
TELEPHONE:
Apt. No.
State
HOME
Zip Code
BUSINESS
ADDRESS OF APARTMENT INVOLVED, IF DIFFERENT FROM CURRENT ADDRESS: Apt. No.
Street No.
City
State
Zip Code
City
State
Zip Code
City
State
Zip Code
2. FORMER OR CURRENT LANDLORD
INVOLVED IN THIS COMPLAINT:
ADDRESS
TEL.:
Street No.
3. MANAGING AGENT'S NAME:
ADDRESS:
TEL.:
Street No.